First Name	Last Name
Driver's Address
Phone Number	Email Address
Date of Birth	Driver's Liscense #
Vehicle Year	Vehicle Make
Vehicle Model	Social Security #
Tickets, accidents or claims in the last 5 years

Farmers Insurance Group is the LARGEST Insurance company in Arizona!

We have been in business 76 years, 75 here in the state of Arizona.

We specialize in insurance for people who:

• Are excellent drivers with clean records
• Have excellent credit/financial standing
• Look for value, service, and professionalism
• Homeowners
• Families
• Special discounts for Firefighters, Law Enforcement Officers, Teachers, Doctors, and Nurses.