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Are you a current client of our agency?*
- Yes
- No
What policy number(s) do you need help with if available?
What is the nature of your inquiry?*
- General Question
- ID Card Request
- Policy Change Request
- Discuss A Claim
- Certificate of Insurance
Describe your policy change request
What date do you need this policy change/request to take effect?*
DD slash MM slash YYYY
Which vehicle do you need an ID card for (please enter year, make, and model)?
Year Make Model
Your Name*
First Last
Your Email*
Your Phone*
Please list the Additional Insured and/or Certificate Holder
Additional Insured and/or Certificate Holder Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Details regarding your question, policy change, claim or other request:*

Request Your Proposal Here

Are you ready to save time, aggravation, and money? The team at Eastern United Insurance is here and ready to make the process as painless as possible. We look forward to meeting you!

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Jessica helped us with our homeowners coverage beyond what I have ever seen in my 16 years of homeownership in South Florida. She went above...

8 months ago

Caroline Gardner

Just moved to South Florida at the beginning of the year and work as an independent designer. I was asked to obtain professional liability insurance...

7 months ago

Emily Sals

Thank you for your help!!! Asked my neighbor for a referral to an insurance agency for my home and business policies. Great service! They understood...

2 months ago

Danny Fernandez

I am so happy with my policy that I asked where I could leave a review. I contacted them after asking for recommendations for a...

7 months ago

Rafael Hernandez

The young lady that handles proof of insurance is outstanding. She is patient and knowledgable. I took her a letter from my bank for a...

7 months ago

Robert Enots

Year	Make	Model