User account

Account information

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Confirm e-mail address: *

Please re-type your e-mail address to confirm it is accurate.

Account Information

Your First Name: *

Your Last Name: *

Address Line 1: *

Address Line 2:

City: *

State/Province: *

Zip / Postal Code: *

Home Phone:

Cell Phone:

Date of Birth:

Gender: *

Accounts I have with this agency:

Personal Insurance

Business Insurance

Insurance Info - Business Insurance

Are you the owner or manager of this business?:

This question is required for Commercial Lines customers only; if you are not the owner or manager of this business, do you have the permission of the owner/manager to submit information regarding their insurance program? If the answer is "No", please close this form and have the owner or manager sign up themselves.

Business Name:

You only need to enter this if you have Commercial Lines coverage with this agency.

Business Phone:

Terms and Conditions of Use

Terms & Conditions:

Terms and Conditions

Conditions of Use

By using this website I acknowledge and accept the following conditions of use without limitation or qualification.  I have read the following conditions carefully before using this website and understand that the Terms and Conditions may be revised at any time by updating this posting.  I realize that I am bound by any such revisions and commit to periodically visit this page to review the then current Terms and Conditions to which I am bound.

Disclaimer

To the fullest extent permissible pursuant to applicable law, the materials on this website are provided “As Is” and without warranties of any kind either expressed or implied unless written confirmation is received by Patrons Insurance Agency, Inc. This website may be linked to other websites which are not maintained by Patrons Insurance Agency, Inc. and we are not responsible for the content of those websites.  The inclusion of any link to such websites does not imply approval of or endorsement by Patrons Insurance Agency, Inc., of the websites or the content thereof.
  
User Commitment

I understand that any insurance terms and definitions are meant for general informational purposes and not meant as specific advice or recommendations. For detailed information, it is my responsibility to contact Patrons Insurance Agency, Inc.

I understand that no coverage will be assumed bound or covered until I have received written or verbal confirmation from Patrons Insurance Agency, Inc.

I understand that Patrons Insurance Agency, Inc., will receive documentation of all service requests, requests for information or declination for additional information, which may become part of my customer file.

I understand that Patrons Insurance Agency, Inc., will process service requests based on information provided through this online service and that I will receive confirmation of all changes to my coverage. I authorize all such changes, and assume the responsibility of notifying Patrons Insurance Agency, Inc., in the event of errors or misunderstandings.
I understand that I am responsible for updating my email address and other information in the event of change by notifying Patrons Insurance Agency, Inc., in writing.

Patrons Insurance Agency, Inc. Commitment

1.  Guarantee the privacy of client information.
2.  Handle service requests in good faith based on registration information. All service requests will be confirmed to the client and they must contact Patrons Insurance Agency, Inc., in case of error.
3.  Insurance terms, descriptions of coverage and other insurance information are not meant to be complete, and the client should either contact Patrons Insurance Agency, Inc., or read their policy for complete information.
4.  No changes will be considered to be bound until the client has received confirmation from Patrons Insurance Agency, Inc.
5.  While we do our best to physically and electronically safeguard our online service, we shall not be liable for, any damages to, or viruses that may infect, your computer equipment or other property as a result of your access to, use of, or browsing in our site or your downloading any materials, data, text, images, video or audio from our website.

Privacy Statement

Patrons Insurance Agency, Inc., has always been committed to ensuring the confidentiality of the information it receives. Recently, Congress enacted the Financial Services Modernization Act, which requires that certain companies, including insurance agencies, inform their customers how personal information is collected or disclosed. Patrons Insurance Agency, Inc., maintains physical and electronic safeguards to protect the information we acquire, including restricting access about you to employees who need to know that information to provide you with products or to provide you with benefits or services we feel would be useful to our clients. We periodically review and test our systems to assess the strength of our security precautions. The following notice is Patrons Insurance Agency, Inc., Privacy Policy.

Our Privacy Policies and Practices

We do not sell client information for any reason whatsoever.
We may collect non-public personal information about you from the following sources:

- information we receive from you on application or other forms;
- information about your transactions with us; and
- information we receive from a consumer reporting agency

We will not disclose non-public personal information about you to others unless the disclosure is necessary to conduct our business and is permitted by law.
We reserve the right to make changes to this Privacy Statement from time to time, which may be provided by any reasonable means including, but not limited to, posting the revised draft of the Statement on this website.

We thank you for the confidence you have placed in us and are committed to protecting your privacy and confidentiality.

Accept Terms & Conditions of Use

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