• Dixie Leavitt Insurance Quote Form

    Dixie Leavitt Insurance Quote Form

  • 📋 Quick Reminder Before You Submit

    Thanks for taking the time to fill out your quote request! The more details you share, the better we can tailor your coverage and provide an accurate estimate. It only takes a few extra moments—and it makes a big difference.

    ⚠️ Binding Disclaimer Please note that submitting this form does not provide or guarantee insurance coverage. Coverage will only become effective after an authorized agent has reviewed your application, all required documentation has been completed, and payment has been received and processed. Any quotes provided are considered preliminary and do not constitute a binding agreement. Insurance coverage will be confirmed only once you receive official notification from the insurance provider.

  • Please Add 2nd Named Insured & All Household Members Age 15 and Older
  • Does anyone in the household smoke?
  • Does anyone in the household drink alcohol?
  • Why We Ask These Questions

    🏠 Home Insurance: Insurance companies may factor in smoking habits when assessing home coverage. Smoking can increase the risk of fire-related incidents, which may affect your policy terms and premiums.

    🚗 Auto Insurance: Auto insurers evaluate various elements to determine your risk level as a driver. Alcohol consumption—especially if it could lead to impaired driving—can signal a higher likelihood of accidents and influence your coverage.

    🔍 Transparency Matters: Providing accurate and truthful information is crucial when applying for insurance. Misrepresenting lifestyle habits like smoking or drinking can lead to denied claims or even cancellation of your policy.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Do you consent to receive text messages?*
  • What kind of insurance are you looking for? (Select all that apply)
  • Auto Insurance

    Auto insurance protects the policyholder from financial loss in the event of an accident or theft.
  • Learn More About Auto Insurance
  • Vehicles
  • Are there any licensed household members or regular drivers who have not been included on this quote?*
  • Boat - Personal Watercraft Insurance

    Boat insurance protects your boat and provides financial protection if you cause damage or injuries to others while boating. It can also cover your trailer if it's stolen or damaged.
  • Utah Approved Adult Boating Course:

    Click on Logo

  • Image field 197
  • Named Insured Driver Information
  • Boats - Personal Watercrafts
  • Condo Insurance

    Condo insurance, also known as HO-6 insurance, provides coverage for your personal property, interior walls, fixtures, and improvements within your condo unit. It also offers liability coverage and protection for additional living expenses if your condo becomes uninhabitable due to a covered loss. Additionally, it may include coverage for special assessments and loss assessment coverage for damage to the building's common areas.
  • Condo Specs
  • Catastrophic Coverage

    Catastrophic insurance is a type of insurance policy that protects you (and your home) from natural disasters such as floods, hurricanes, earthquakes, tornadoes, volcanoes, and sinkholes. These low-probability, high-cost events are generally excluded from standard homeowners insurance policies. 
  • Do You Need Flood Insurance? Learn More Here!

  • Catastrophic Coverage
  • Homeowners Insurance

    Homeowners insurance is a policy that protects your home and belongings from damage or loss caused by certain events, such as fire, theft, and severe weather. It can also cover injuries that occur on your property or accidents you cause that result in liability. 
  • Learn More About Home Insurance
  • Home Specs
  • Landlord - Dwelling Fire Insurance

    Landlord or Dwelling Fire insurance is designed to protect rental properties owned by landlords. It typically covers the structure itself from risks like fire, lightning, wind, and vandalism. Unlike homeowners insurance, it doesn’t cover the tenant’s belongings, but it can include liability protection and loss of rental income if the property becomes uninhabitable due to a covered event.
  • Property Location & Basic Information
  • Manufactured/Mobile Home Insurance

    Manufactured home insurance, also known as mobile home insurance, protects your home and belongings from covered losses in events like fire, wind, hail, and theft. Coverage also includes personal belongings, liability, and guest medical protection.
  • Manufactured Home Specs
  • Motorcycle or ATV/UTV Insurance

    Motorcycle and ATV insurance protects you financially if your vehicle is damaged or stolen, or if you're responsible for causing injuries or damage to others.
  • Off-Highway Vehicle Education Course:

    Click on Logo.

  • Image field 181
  • Vehicles
  • Additional Driver Information
  • Renters Insurance

    Renters insurance protects your personal belongings and liability if you rent a home, condo, or apartment. It's similar to a homeowner's policy, but it doesn't cover the structure of the dwelling.
  • Renters Information
  • Scheduled Personal Property

    Scheduled personal property is a supplemental insurance policy that extends coverage beyond the standard protection provided in a homeowners' insurance policy. By purchasing a scheduled personal property policy, owners can ensure full coverage of expensive items, such as jewelry, in the event of a claim.
  • Learn More About Properly Insuring Your Valuables

  • Scheduled Personal Property
  • Trailer - Motorhome/RV Insurance

    Trailer and motorhome insurance, also known as RV insurance, protects your vehicle and belongings from damage, theft, and other incidents. It can also cover you for liability if you're responsible for injuries or damages while driving or parking your RV.
  • Driver Information
  • RV/Trailer Insurance
  • Umbrella Insurance

    This type of insurance provides additional liability coverage beyond what your primary insurance policies, like auto or homeowners insurance, may cover.
  • Umbrella Insurance Limit
  • You're All Set!

    We appreciate the opportunity to assist with your insurance needs. To finalize the form, click Submit below.
  • What is the best way to contact you with your quote?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • How did you hear about us?
  • Submitted On
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: