Request a Quote

To request an insurance quote, please select one of the options below to fill out the request form. One of our insurance specialists will follow up with you directly. For general questions, please click here to contact us.

    Type of Coverage

    Personal Information

    Date of Birth

    College Graduate?

    Spouse Information

    Spouse Date of Birth

    Home Information

    Expiration Date

    Number of claims in the last 5 years

    Is there a mortgage on the home?

    Type of Home

    Type of Plumbing

    Type of Basement - Check all that apply

    Type of Flooring - Check all that apply

    Auto Information

    Expiration Date

    Do you have a copy of your current auto insurance policy declarations page?
    Do you have medical insurance?

      Contact Information

      Company Information

      Type of Insurance Coverage

          Contact Information

          Type of Insurance Coverage

          Requests for insurance quotations, and/or requests for any information from this website, do not constitute the binding of insurance or the issuance of a policy. Please remember that coverage cannot be bound, altered, or cancelled via phone or this website. You cannot bind, alter or cancel coverage without speaking to an authorized representative of Doeren Mayhew Insurance Group.


          Selecting Unlimited PIP Coverage: It’s Important for Your Michigan Auto Insurance Policy

          Following Michigan’s updated no-fault auto insurance law, it became even more important to select the right auto coverage. The no-fault insurance reform effectively requires Michigan drivers to have personal injury protection (PIP) along…

          Read More

          What to Look for in Life Insurance Coverage as a Young Family

          Whether you’re a newly married couple or a young family with multiple children, it’s important to safeguard the financial future of your loved ones. Additionally, as you build wealth, you’ll want to protect your family along the way. No…

          Read More