Carrier Insurance Agency
Hope for the best, plan for the worst. Buy insurance today.
Have a question? Give us a call today!

(814) 226-6580

Toll-free: (800) 822-9486

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   Fill out the information below, and one of our representatives will contact you shortly with an accurate life insurance quote.

   For more information on our policies, feel free to call one of our friendly representatives at (814) 226-6580 or toll-free at (800) 822-9486.


Policy Information
First Name:*   Last Name:*  
Address:*
City:*   State:*  
County:   Zip Code:*  
Email:*   Home Phone:*  
Gender*:
Height:   Weight:  
 
Health & Life Insurance Information
Type of Insurance:  Health Insurance     Life Insurance
Policy Type:*   Policy Amount/
Death Benefit:
 
 
Insured Medical Information
Use Tobacco?
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Partner Insurance Information
Partner to be insured on this policy?
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Partner use Tobacco?
Yes No
Gender:
Height:   Weight:  
Children?
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Partner Medical Information
 
Children Medical Information
 
  
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Disability Insurance Information
Occupation:
Earnings:   Frequency:
Other Disability Coverage:
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Other Disability Coverage Type:
Individual Group
 
Disability Coverage
Elimination Period STD:   Percentage Payable STD:  
Maximum Monthly Benefit STD:   Duration of Benefits STD:  
 
How Did You Hear About Us?
 
   
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**Please note that this quote is not final until an agent contacts you**


Location

Carrier Insurance Agency
21823 Rt. 68 Suite 3
Clarion, PA 16214
Phone: (814) 226-6580
Toll-Free: (800) 822-9486
Fax: (814) 226-8514

Email: carrierinsagencyinc@hotmail.com
Directions
(in front of Tractor Supply)

Office Hours

Monday - Friday: 8:00 AM - 5:00 PM

Companies We Represent
Erie Insurance
Progressive Insurance
Millvale Insurance