Information Needed for Quote

BASIC INFORMATION NECESSARY TO QUOTE INSURANCE:

1. Loss runs for the past 3 years plus current year for all lines of insurance.
   (Get these from your current agent or by contacting your insurance carrier directly.)
2. Declaration pages for your current policies.
3. Current Worker's Compensation Experience Mod worksheet.
   (This is sent to you by the Wisconsin DWD.)
4. Current Contractor's Credit Worksheet. (If applicable.)
5. Estimated payroll for next policy term by Workers' Compensation code.
6. Vehicle list including year, make model, VIN number, cost new and where garaged.
7. Driver list including name, date of birth and driver's license number.
8. Equipment list including year, make, model and current value.
9. Building (property) Information: type of construction, year built, square footage, alarm system?, sprinkler system?
10. Federal ID number

Once you have obtained all of the information listed above, please call the Brehmer Agency's Insurance Services at 262-781-3714 to schedule an appointment with an experienced insurance professional to determine the coverage you need.