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For a free insurance quote, complete one of the word documents or online forms below. You can fax, email or mail the word documents.

*Before completing any of these requests for quotes, we recommend you review our Disclaimer, Fraud Statement, and Privacy Policy.

Automobile Insurance: Word Document Online Form
Boat/Jet Ski Insurance: Word Document  
Commercial Insurance: Word Document  
Flood Insurance: Word Document  
Home Insurance: Word Document Online Form
Mobile Home Insurance: Word Document  
Motor Home Insurance: Word Document  
Motorcycle Insurance: Word Document Online Form

Automobile Insurance Quote Form:

Full Name:
Spouse's Name:
Date of Birth:
Spouse's Date of Birth:
Marital Status:
Single Married
Other drivers in the household?
 
Street Address:
City: Zip:
County: Allegheny  Armstrong  Butler  Westmoreland
Phone:
Vehicle Year:
 
Vehicle Make:
 
Vehicle Model:
 
VIN #:
 
Any accidents or violations in the last 3 years?
Do you use your vehicle for:
Commuting  Pleasure  Business
Number of miles you drive to work each day (one way):

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Home Insurance Quote Form:

Name: Phone:
Street Address:
City: Zip:
County: Allegheny  Armstrong  Butler  Westmoreland
What year was your home built?
How many floors does your home have?
What are the dimensions of your ground floor (living) area?
Construction Type: Frame  Brick  Block
Type of Porch:
Type of Garage: Detached  Attached  Other
Type of Basement:
Do you work out of your home?  Yes  No

 

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Motorcycle Insurance Quote Form:

Name: Phone:
Street Address:
City: Zip:
County: Allegheny  Armstrong  Butler  Westmoreland
Cycle License: Yes  No Years of experience:
Marital Status: Single  Married
Cycle Information (Please include the Year, Make, Model, CC's and VIN for each unit):

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Disclaimer
Bevan Walley Shepard makes reasonable efforts to present accurate and reliable information in this Website. But, Bevan Walley Shepard is not responsible for any errors in or omissions from the information contained in or accessed through this Site, nor is Bevan Walley Shepard responsible for the timeliness of the information. The information in this Site is not intended to provide specific advice about insurance. If specific insurance advice is required or desired, please contact Bevan Walley Shepard directly. All of the information in this Site is provided "as is" without warranty of any kind. Bevan Walley Shepard makes no representations of any kind and disclaims all express, implied, statutory or other warranties of any kind to the user and/or any other party, including, without limitation, any warranties of accuracy, timeliness, and completeness for any particular purpose.

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Fraud Statement
Any person who knowingly and with intent to defraud any insurance company or another person files an application for insurance containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties.

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Privacy Policy

I. Introduction
As a current customer of Bevan Walley Shepard Insurance, we would like to take this opportunity to both thank you for your business and to share with you the importance our agency places upon protecting the privacy of information we gather from you in accordance with applicable state and federal laws.

Bevan Walley Shepard Insurance is a member of the financial services industry and, as such, our agency has been and continues to be subject to federal and state privacy laws regarding the collection and exchange of your information.  The following is Bevan Walley Shepard Insurance’s privacy policy regarding the customer information we collect.  Contained in this privacy policy you will find: (1) an explanation of the types of information Bevan Walley Shepard Insurance collects from our clients and the means used to collect such information, (2) an explanation of how Bevan Walley Shepard Insurance shares the information collected from our clients, and (3) an explanation of how Bevan Walley Shepard Insurance protects client information.

II. Information we collect and the means used to collect that information
Bevan Walley Shepard Insurance collects information about our customers that is necessary to provide those services usual and customary to independent insurance agents. Bevan Walley Shepard Insurance collects this necessary information from the following sources: 

  • Information we receive from you on applications or other forms; this information may include, but is not limited to, your name, address, and date of birth.

  • Information about our clients’ transactions with us; this information may include, but is not limited to, claims and payment history.

  • Information we receive from a consumer-reporting agency; this information may include, but is not limited to, a driving record or insurance score report.

To collect customer information from the above-stated sources, Bevan Walley Shepard Insurance may use the following means of communication to gather information: written, in-person, telephone, facsimile, electronically, and online.

III. How we share client information with non-affiliated third parties
We don’t share information about our customers or former customers with non-affiliated third parties other than as permitted or required by law. For example, Bevan Walley Shepard Insurance may share all of the information listed above with non-affiliated third parties for, including but not limited to, the following reasons: 

  • Information that is necessary to service or process the insurance needs of our clients, in a manner that is consistent with the usual and customary services provided by independent insurance agents. Such usual and customary services or processes provided by Bevan Walley Shepard Insurance to its customers include, but are not limited to, underwriting, shopping the renewal, rating, placement, and providing quotes for insurance that is germane to the coverage the customer places with our agency.

  • Information that is necessary to protect the confidentiality or security of our clients’ records.

  • Information that is necessary to resolve client disputes or inquiries

  • Information that is required by individuals or entities who are assessing our legal compliance.

  • Information that is required for Bevan Walley Shepard Insurance to comply with the law.

  • To an actuarial or research organization for the purpose of conducting actuarial or research studies.

  • Information that is necessary to protect against or prevent fraud, unauthorized transactions, claims, or other liability.

IV. How we share client information with affiliated parties
We do not share client information with any affiliate.

V. Our practices regarding information confidentiality and security
We maintain physical, electronic, and procedural safeguards to guard your information. These safeguards include, but are not limited to the following: 

  • We restrict access to nonpublic personal information about our clients and former clients to those employees who need to know that information in order to assist in providing services or products to the customer.

  • We will punish any employees who impermissibly share client information.

  • We use a secure Internet and e-mail provider to protect the confidentiality of electronic communications.

Bevan Walley Shepard Insurance appreciates your business and in order to continue building upon that relationship we believe it is necessary, not only from a legal standpoint, but also as a sound business practice that our customers understand the care our agency uses in handling your information. Bevan Walley Shepard Insurance will continue to monitor the effectiveness of this privacy policy.

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Bevan Walley Shepard Insurance
2120 Freeport Road
New Kensington, PA 15068
Phone: 724-335-3111
Fax: 724-335-7183
bonnie@bevanwalleyshepard.com

Office Hours:
Monday through Friday
8:30 a.m. to 4:30 p.m.

 

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Site designed by
Tamara Simpson. Photos by R. Fritz Photography.