Castle Insurance
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Castle Insurance is based in Eau Claire, Wisconsin. As an independent agency we provide our clients with the most complete coverage at the most competitive rates. By being an independent insurance agency, we represent many of the finest companies in the industry.

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*Insurance coverage cannot be bound or changed via submission of any online form/application provided on this site or otherwise. No binder, insurance policy, change, addition, and/or deletion to insurance coverage goes into effect unless and until confirmed directly by a licensed agent.
Personal Information

Your Name:
  Address:(include city, state, zip)
  Email:
  Phone:
  Occupation:
 
Vehicle Information
  Year:
  Make:
  Model:
  VIN:
  Vehicle Uses:
Business  Pleasure  School   Work
 
Owner Information
  Name on Title:
  Purchase Date:
  Ownership:
Lease   Loan   Own
  Loan/Lease Company:
  Address:
 
Driver Information
  Driver's Name:
  Driver's Date of Birth:
  Annual Mileage:
  This is a young driver (under 18 yrs old)
    Completed driver training
    Qualifies for the good-student discount
 
Coverage Information
  Coverage Type:

Better Coverage
Lowest Deductible
Lowest Rate
State Minimum
Other   Describe:
  Coverage Options:

GAP/Replacement Cost
Medical Payments
Rental Reimbursements
Towing & Roadside Assistance
 
Comments
  Comments/Additional Questions:
   

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