Proposal Request
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What this form asks (16 questions, about 5 minutes)
Request a California earthquake insurance quote from Susman Insurance Agency in Los Angeles. Choose your deductible; a licensed agent compares options. About 5 minutes.
- First Name (required)
- Last Name (required)
- How did you find us? (required; choices: Search engines / Social media / News story / Referral / I am a current client of Susman Insurance)
- Name of Referral (required; only when applicable)
- Street Address (required)
- City (required)
- State (required)
- ZIP Code (required)
- Have you had any claims in the last 5 years? (required; choices: Yes / No)
- Home year built (required)
- Home square footage (required)
- Earthquake Insurance Deductible requested (required; choices: 2.5% / 5% / 10% / 15% / 20% / 25%)
- Email (required)
- Cell Phone (required)
- Are you working with one of our Agents? (required; choices: Yes / No)
- Agent’s name (required; only when applicable)
Prefer to talk? Call or text (310) 820-5200. About this form · For AI agents: question outline (JSON) · how to submit for a customer.