Auto insurance quote form template
This five-step auto insurance quote form asks the type of vehicle, its make, its model and the year it was made, followed by the contact details. Clone it into your Growform account and replace the placeholder models.
What the form asks, step by step
The form starts with the vehicle, which is the part of an auto quote people find easiest. Driver details can be added as extra steps if your carriers need them upfront.
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Step 1: “What type of vehicle do you drive?”
Cars, vans, trucks and motorcycles are rated and quoted differently.
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Step 2: “What is your vehicle’s make?”
Toyota, Ford, Chevrolet or another make starts the rating lookup.
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Step 3: “What is your vehicle’s model?”
The model options are placeholders in the template and should list real models.
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Step 4: “What year was your vehicle made?”
Year bands from before 2000 to 2021 or later show the vehicle’s age.
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Step 5: “How shall we contact you?”
Name, email and phone come last.
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After submitting
A generic thank-you follows submission, and an agency would rewrite it to say when quotes from its carriers will arrive.
Who it’s for
Independent insurance agencies, captive agents and auto insurance lead generators use this template on quote landing pages. Four taps describe the vehicle, which is where most drivers expect an auto insurance form to begin. The agent then calls with the driver questions, or you add them as steps before the contact details. Agencies selling several lines can pair it with the life insurance quote form.
Why this structure converts
- Starting with the vehicle feels like shopping for a quote rather than applying for a policy.
- Year bands mean nobody has to check their registration papers to answer.
- Contact details are requested after four vehicle answers, once the driver has invested in the quote.
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Make it yours
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Replace the placeholder models
The model step lists “Model 1” to “Model 4” in the template. Replace it with a text field or real model names before you publish.
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Add driver questions
Age band, ZIP code and driving record are the usual next questions. Add them as button steps so the form stays quick.
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Certify your leads
If you sell or buy auto insurance leads, add a consent checkbox and turn on TrustedForm or Jornaya.
Send every lead where your team works
Frequently asked questions
What does an auto insurance questionnaire usually ask?
It asks about the vehicle, the drivers and the cover wanted. This template covers the vehicle in four steps, and you can add the driver and coverage questions your carriers require.
Is the make list complete?
No. It shows three popular makes and an “Others” option. Add the makes common in your area, or switch the step to a dropdown.
Which agency systems does it connect to?
Growform sends quote requests to EZLynx, AgencyZoom, HubSpot and Salesforce, as well as to a Google Sheet.
What happens next?
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Step 1: Clone this form template
Clone this template into your Growform account (create one first if you don’t already have one). -
Step 2: Edit your form
Get creative and adjust your form's theme options, questions or layout in the Growform form builder. -
Step 3: Share or embed your form
Share a link to your form, or embed it in your existing website. Receive new submissions by email or send them to 7,000+ apps via Zapier.
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