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Homeowners Insurance, Rental Insurance, Excess Liability, Long-Term Care, Group Health, Medicare, Auto Insurance, Business Insurance, Boat Insurance, Life Insurance, Workers Compensation


Sweeney & Sweeney
Insurance Services

An Affiliate of United Valley Insurance Services

California License
#0614055

1500 Humboldt Road, Suite #1
Chico, CA 95928
Phone (530) 895-5260
Fax (530) 895-5267
(800) 696-2919

 Homeowners Insurance, Rental Insurance, Excess Liability, Long-Term Care, Group Health, Medicare, Auto Insurance, Business Insurance, Boat Insurance, Life Insurance, Workers Compensation Boat Insurance, BOATS, TRAILERS
Auto Insurance

An automobile insurance policy is designed to protect you and your family from financial loss if you are responsible for damages as a result of a motor vehicle accident.

Auto insurance policies actually consist of several different kinds of coverage, including liability insurance, medical expense insurance, uninsured/underinsured motorists insurance, and insurance for damage to your vehicle.


Inquiry Form
Note: Sweeney and Sweeney services California only.

To receive a quote on Personal Automobile Insurance, please complete the following form. If your browser does not support forms, you may call or E-mail us.

Note: Fields marked with an asterisk (*) are required.

Your Name*

Mailing Address*

City*   State*   Zip*

Phone*
Best Time to Call   AM   PM

Fax   E-Mail*

Current Carrier

Number of Vehicles to be Insured
Number of Drivers Operating the Vehicles

Vehicle #1

Year   Make   Model

Series   # Doors   # Cylinders

Engine   Gas   Diesel

Vehicle Identification Number (if available)

Vehicle #2 (if applicable)

Year   Make   Model

Series   # Doors   # Cylinders

Engine   Gas   Diesel

Vehicle Identification Number (if available)

Vehicle #3 (if applicable)

Year   Make   Model

Series   # Doors   # Cylinders

Engine   Gas   Diesel

Vehicle Identification Number (if available)

Operator #1

Name (Last, First, Initial)

Date of Birth   Year Licensed   State Licensed

Drivers License Number

Number of Tickets in the Past 3 Years
    Please list date and violation:

    Date   Violation
    Date   Violation
    Date   Violation

Number of Accidents in the Past 5 Years
    Please list date and if anyone was injured:

    Date   Bodily Injury Yes   No
    Date   Bodily Injury Yes   No
    Date   Bodily Injury Yes   No

Operator #2

Name (Last, First, Initial)

Date of Birth   Year Licensed   State Licensed

Drivers License Number

Number of Tickets in the Past 3 Years
    Please list date and violation:

    Date   Violation
    Date   Violation
    Date   Violation

Number of Accidents in the Past 5 Years
    Please list date and if anyone was injured:

    Date   Bodily Injury Yes   No
    Date   Bodily Injury Yes   No
    Date   Bodily Injury Yes   No

Operator #3

Name (Last, First, Initial)

Date of Birth   Year Licensed   State Licensed

Drivers License Number

Number of Tickets in the Past 3 Years
    Please list date and violation:

    Date   Violation
    Date   Violation
    Date   Violation

Number of Accidents in the Past 5 Years
    Please list date and if anyone was injured:

    Date   Bodily Injury Yes   No
    Date   Bodily Injury Yes   No
    Date   Bodily Injury Yes   No

Limits of Coverage
Please check the limits of coverage desired for the purpose of this quote:
BI Liability 15/30 30/60 50/100 100/300
250/500 1 Million None Don't Know
PD Liability 25 50 100 200
250 500 None Don't Know
UM 15/30 30/60 50/100 100/300
250/500 1 Million None Don't Know
Medical 1,000 2,000 5,000 10,000
25,000 50,000 None Don't Know
Collision 2,000 1,000 500 250
100   None Don't Know
Comprehensive 2,000 1,000 500 250
100   None Don't Know


Comments/Questions




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