BFI is a Platinum Progressive agent

Your Contact Information

An agent from our Springfield, Illinois office will be in touch — usually the same day.

Name of Business(Required)

Name(Required)

First Last

Date of Birth(Required)

Phone(Required)

Only so a licensed local agent can get your quotes to you — no robocalls, no lists, ever.

Email(Required)

🔒 We never sell or share your info

Zip Code(Required)

ZIP Code

Helps us find the right carriers for your area

How would you like us to reach you?(Required)

📞Call me

💬Text me

✉️Email me

Best time to call? (Optional)

Yes, BFI may text me.

By checking this box, you consent to receive SMS/text messages from Bailey Family Insurance regarding your quote request. Message & data rates may apply. Reply STOP to opt out at any time. Consent is not required to receive a quote.

Anything else we should know?

Not sure about something? Best guess is fine. We’ll confirm the details on the call. You can also upload a photo of your insurance card or declarations page at the bottom.

🏠 Home

Property Address(Required)

Street Address City State ZIP Code

Year Built

Best guess works. We can pull it from public records if you're not sure.

Sq. Footage (approx.)

Best guess works. We can pull it from public records if you're not sure.

Current Insurer

Renewal Date

Best guess is fine. Pick any day in the month it renews.

Roof — year replaced (or age)

Foundation type

🚗 Personal Auto

VIN (only if it is handy)

Skip if you don't have it handy. We can grab it from your card or registration.

Current Insurer

Vehicle(s) — year, make and model

One per line is perfect.

Any other drivers in your household?(Required)

No, just me

Yes

Include anyone living with you who has a license or learner's permit.

Other driver 1 — full name(Required)

Other driver 1 — date of birth(Required)

Add another driver?(Required)

Yes

Other driver 2 — full name(Required)

Other driver 2 — date of birth(Required)

Add another driver?(Required)

Yes

Other driver 3 — full name(Required)

Other driver 3 — date of birth(Required)

Add another driver?(Required)

Yes

Other driver 4 — full name(Required)

More than five? We'll get the rest when we follow up.

Other driver 4 — date of birth(Required)

Renewal Date

Best guess is fine. Pick any day in the month it renews.

Home Address(Required)

Street Address City State ZIP Code

🏢 Renters

Rental Address(Required)

Street Address City State ZIP Code

Current Insurer (leave blank if none)

🛡️ Life Insurance

Coverage Amount Desired

Tobacco Use?

Health Conditions?

This never disqualifies you. It just helps us find the right product.

☂️ Personal Umbrella

Auto Policy with BFI?

Home Policy with BFI?

Coverage Limit Desired

🏠 Mobile Home

Address(Required)

Street Address City State ZIP Code

Year / Model Year

Current Insurer

Renewal Date

⛵ Boat / Watercraft

Year

Make/Model

Approx. Value

Estimate is fine. We'll dial it in with you on the call.

Current Insurer (leave blank if none)

🏍️ ATV / UTV

VIN (only if it is handy)

Skip if you don't have it handy. We can grab it from your card or registration.

Year, make and model

Current Insurer (leave blank if none)

Renewal Date

🛵 Motorcycle

VIN (only if it is handy)

Skip if you don't have it handy. We can grab it from your card or registration.

Year, make and model

Current Insurer (leave blank if none)

Renewal Date

Business Owners (BOP)

Type of Business

Years in Business

Annual Revenue (Approx.)

Round number is fine. We're sizing the policy, not auditing.

Employees

Renewal Date

🚛Commercial Auto

Number of Vehicles

Types of Vehicles

Current Insurer

Renewal Date

👷 Workers Comp

Employees

Annual Payroll (Approx.)

Industry / Trade

Renewal Date

📋 General Liability

Type of Business

Annual Revenue (Approx.)

Renewal Date

🏗️ Commercial Property

Address(Required)

Street Address City State ZIP Code

Building Value

Approximate replacement cost. We can run it through our valuator together.

Renewal Date

💼 Prof. Liability

Profession / Industry

Annual Revenue (Approx.)

Claims in the last 5 years?

Renewal Date

Upload Documents (Optional)

Drop files here or

Max. file size: 98 MB.

Easiest option: snap a picture of your current declarations page, ID card, or closing documents. We'll pull what we need and chase down the rest.

Files go directly to your assigned agent — no extra steps on your end.

Start Your Quote in Seconds:

What can we help you with?

Your Contact Information

🏠 Home

🚗 Personal Auto

🏢 Renters

🛡️ Life Insurance

☂️ Personal Umbrella

🏠 Mobile Home

⛵ Boat / Watercraft

🏍️ ATV / UTV

🛵 Motorcycle

Business Owners (BOP)

🚛Commercial Auto

👷 Workers Comp

📋 General Liability

🏗️ Commercial Property

💼 Prof. Liability

Request Your Proposal Here