andrewforish.com Open in urlscan Pro
34.69.219.172  Public Scan

Submitted URL: http://terminsurance-sf.com/
Effective URL: https://andrewforish.com/
Submission: On February 28 via api from US — Scanned from US

Form analysis 5 forms found in the DOM

POST /contact[object Object]

<form x-show="!sendResponse &amp;&amp; !sending" class="flex flex-col text-base font-mecherlesans-reg text-sf-charcoal" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers" aria-labelledby="formLabel"
  action="/contact[object Object]">
  <div class="flex flex-col" :class="{ &quot;lg:flex-row&quot;: false }">
    <!-- start partial: m2-cf-contact-info.hbs -->
    <div class="flex flex-col w-full space-y-5" :class="{ &quot;lg:flex-row lg:space-x-4 lg:w-3/4&quot;: false }" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
      <!-- start partial: m2-cf-text-field.hbs -->
      <div class="relative w-full">
        <input :id="$id('contact-form-name')" class="m2-form-input peer" :class="{ &quot;bg-white&quot;: false, &quot;lg:mt-5&quot;: false }" name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text"
          placeholder="Your Name" :aria-invalid="hasError('name')" :aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()" id="contact-form-name-1" aria-required="true">
        <label class="m2-form-label" :for="$id('contact-form-name')" for="contact-form-name-1"> Your Name <span aria-hidden="true" x-show="hasError('name')" style="display: none;"> * </span>
        </label>
      </div>
      <!-- end partial: m2-cf-text-field.hbs -->
      <!-- start partial: m2-cf-text-field.hbs -->
      <div class="relative w-full">
        <input :id="$id('contact-form-email-or-phone')" class="m2-form-input peer" :class="{ &quot;bg-white&quot;: false, &quot;lg:mt-5&quot;: false }" name="contact-form-email-or-phone" x-model="form.emailOrPhone" :aria-required="true"
          autocomplete="on" type="text" placeholder="Your Email or Phone" :aria-invalid="hasError('emailOrPhone')" :aria-describedby="hasError('emailOrPhone') ? $id('error', 'emailOrPhone') : null" :error="hasError('emailOrPhone')"
          @keydown.debounce.750ms="validateEmailOrPhone()" id="contact-form-email-or-phone-1" aria-required="true">
        <label class="m2-form-label" :for="$id('contact-form-email-or-phone')" for="contact-form-email-or-phone-1"> Your Email or Phone <span aria-hidden="true" x-show="hasError('emailOrPhone')" style="display: none;"> * </span>
        </label>
      </div>
      <!-- end partial: m2-cf-text-field.hbs -->
    </div>
    <!-- end partial: m2-cf-contact-info.hbs -->
    <div class="mt-4">
      <!-- start partial: cf-message-warning.hbs -->
      <p class="text-xs" :id="$id('message-warning')" id="message-warning-1"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
      <!-- end partial: cf-message-warning.hbs -->
    </div>
    <div class="mt-5">
      <!-- start partial: m2-cf-message.hbs -->
      <div class="relative h-full" x-id="[
                                                        'contact-form-message'
                                                    ]">
        <textarea :id="$id('contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 " :class="{ &quot;bg-white&quot;: false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
          :aria-describedby="`${$id(&quot;message-warning&quot;)} ${hasError(&quot;message&quot;) ? $id(&quot;error&quot;, &quot;message&quot;) : &quot;&quot;}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
          :error="hasError('message')" id="contact-form-message-1" aria-describedby="message-warning-1 "></textarea>
        <label :for="$id('contact-form-message')" class="m2-form-label" for="contact-form-message-1"> Your Message: <span aria-hidden="true" x-show="hasError('message')" style="display: none;"> * </span>
        </label>
      </div>
      <!-- end partial: m2-cf-message.hbs -->
    </div>
    <div class="mt-5" :class="{ 'lg:w-1/4 lg:ml-4': false }">
      <!-- start partial: m2-cf-submit.hbs -->
      <button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button>
      <!-- end partial: m2-cf-submit.hbs -->
    </div>
  </div>
  <!-- start partial: m2-cf-errors.hbs -->
  <div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700" style="display: none;">
    <!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
    <!-- "Please forgive this" -->
    <h3 class="font-mecherlesans-demi mb-2 text-xl"> Please correct the following: </h3>
    <ul class="list-inside list-disc">
      <template x-for="(message, key) in errors" :key="$id('error', key)">
        <li class="mb-1" :id="$id('error', key)" x-html="message"></li>
      </template>
    </ul>
  </div>
  <!-- end partial: m2-cf-errors.hbs -->
  <div class="mt-4 space-y-2 italic">
    <!-- start partial: cf-disclaimer.hbs -->
    <p :id="$id('cf-disclaimer')" class="text-xs leading-3" id="cf-disclaimer-1"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email
      for marketing purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email
      address you have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates
      may apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. </p>
    <!-- end partial: cf-disclaimer.hbs -->
    <!-- start partial: cf-coverage-disclaimer.hbs -->
    <p class="text-xs leading-3">
      <span class="font-mecherlesans-bold"> Please note: </span> Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a
      licensed representative in the agent's office, or by contacting the State Farm toll-free customer service line at <a href="tel:8557337333" class="red-link">
                                                    (855) 733-7333
                                                </a> .
    </p>
    <!-- end partial: cf-coverage-disclaimer.hbs -->
  </div>
</form>

#

<form id="quote-start-4rh1x15" action="#">
  <!-- start partial: m2-select-label.hbs -->
  <label for="gaq-product-4rh1x15"
    class="block w-full h-12 px-3 border-b border-sf-charcoal bg-white font-mecherlesans-reg text-sf-charcoal placeholder-current text-base transition-shadow focus-within:ring focus-within:ring-offset-2 focus-within:ring-sf-red relative mt-6"
    :class="{}">
    <span class="absolute -top-4 left-0 text-xs font-mecherlesans-demi">Select an Insurance Product</span>
    <div class="relative flex flex-row items-center w-full h-full -ml-1">
      <select id="gaq-product-4rh1x15" name="field-auto" @change="selectProduct()" x-model="productKey" aria-label="Product Quote Select" aria-controls="specific-location-info-4rh1x15"
        class="w-full pr-4 bg-white appearance-none cursor-pointer focus:outline-none">
        <template x-for="line in lineOptions">
          <option :value="line.key" x-text="line.label"></option>
        </template>
        <option :value="line.key" x-text="line.label" value="auto">Auto</option>
        <option :value="line.key" x-text="line.label" value="homeowners">Homeowners</option>
        <option :value="line.key" x-text="line.label" value="condo">Condo Owners</option>
        <option :value="line.key" x-text="line.label" value="renters">Renters</option>
        <option :value="line.key" x-text="line.label" value="life">Life</option>
        <option :value="line.key" x-text="line.label" value="hospital">Hospital Income</option>
        <option :value="line.key" x-text="line.label" value="medicare">Medicare Supplement</option>
        <option :value="line.key" x-text="line.label" value="pet">Pet Insurance</option>
      </select>
      <div class="-ml-4 pointer-events-none">
        <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
            <path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414Z" clip-rule="evenodd"></path>
          </svg></div>
      </div>
    </div>
  </label>
  <!-- end partial: m2-select-label.hbs -->
  <div class="flex flex-wrap mt-5 space-y-5">
    <div id="specific-location-info-4rh1x15" class="w-full">
      <!-- start partial: m2-text-label.hbs -->
      <div class="relative w-full " :class="{'hidden': type()!=='zip'}">
        <input id="gaq-zip-4rh1x15" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-label="Zipcode Input" aria-required="true" :aria-invalid="!isZipValid()"
          :aria-describedby="describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
        <label class="m2-form-label" for="gaq-zip-4rh1x15"> ZIP Code </label>
      </div>
      <!-- end partial: m2-text-label.hbs -->
      <!-- start partial: m2-select-label.hbs -->
      <label for="gaq-loc-4rh1x15"
        class="block w-full h-12 px-3 border-b border-sf-charcoal bg-white font-mecherlesans-reg text-sf-charcoal placeholder-current text-base transition-shadow focus-within:ring focus-within:ring-offset-2 focus-within:ring-sf-red relative hidden"
        :class="{'hidden': type()!=='loc'}">
        <span class="absolute -top-4 left-0 text-xs font-mecherlesans-demi">State Selection</span>
        <div class="relative flex flex-row items-center w-full h-full -ml-1">
          <select id="gaq-loc-4rh1x15" x-model="state" name="field-state" aria-label="State Selection" aria-required="true" :aria-describedby="describeErrorsID()" :aria-invalid="!isStateValid()"
            class="w-full pr-4 bg-white appearance-none cursor-pointer focus:outline-none" @keydown.enter.prevent="validate()" aria-describedby="">
            <option value="" selected="" hidden="">Your State</option>
            <option value="AL">Alabama</option>
            <option value="AK">Alaska</option>
            <option value="AZ">Arizona</option>
            <option value="AR">Arkansas</option>
            <option value="CA">California</option>
            <option value="CO">Colorado</option>
            <option value="CT">Connecticut</option>
            <option value="DE">Delaware</option>
            <option value="FL">Florida</option>
            <option value="GA">Georgia</option>
            <option value="HI">Hawaii</option>
            <option value="ID">Idaho</option>
            <option value="IL">Illinois</option>
            <option value="IN">Indiana</option>
            <option value="IA">Iowa</option>
            <option value="KS">Kansas</option>
            <option value="KY">Kentucky</option>
            <option value="LA">Louisiana</option>
            <option value="ME">Maine</option>
            <option value="MD">Maryland</option>
            <option value="MA">Massachusetts</option>
            <option value="MI">Michigan</option>
            <option value="MN">Minnesota</option>
            <option value="MS">Mississippi</option>
            <option value="MO">Missouri</option>
            <option value="MT">Montana</option>
            <option value="NE">Nebraska</option>
            <option value="NV">Nevada</option>
            <option value="NH">New Hampshire</option>
            <option value="NJ">New Jersey</option>
            <option value="NM">New Mexico</option>
            <option value="NY">New York</option>
            <option value="NC">North Carolina</option>
            <option value="ND">North Dakota</option>
            <option value="OH">Ohio</option>
            <option value="OK">Oklahoma</option>
            <option value="OR">Oregon</option>
            <option value="PA">Pennsylvania</option>
            <option value="RI">Rhode Island</option>
            <option value="SC">South Carolina</option>
            <option value="SD">South Dakota</option>
            <option value="TN">Tennessee</option>
            <option value="TX">Texas</option>
            <option value="UT">Utah</option>
            <option value="VT">Vermont</option>
            <option value="VA">Virginia</option>
            <option value="WA">Washington</option>
            <option value="DC">Washington, D.C.</option>
            <option value="WV">West Virginia</option>
            <option value="WI">Wisconsin</option>
            <option value="WY">Wyoming</option>
          </select>
          <div class="-ml-4 pointer-events-none">
            <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
                <path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414Z" clip-rule="evenodd"></path>
              </svg></div>
          </div>
        </div>
      </label>
      <!-- end partial: m2-select-label.hbs -->
    </div>
    <div class="w-full">
      <button @click.stop.prevent="validate()" type="button" :disabled="submitting" class="btn btn-primary"> Start a quote </button>
    </div>
  </div>
  <div role="alert" aria-atomic="true" :id="ariaDescribedByErrorsID" id="error-description-4rh1x15">
    <template x-for="error in errors">
      <h3 class="p-3 mt-4 border-2 font-mecherlesans-med text-sf-red-700 bg-sf-red-100 border-sf-red-700 rounded-2xl" x-html="error"></h3>
    </template>
  </div>
</form>

#

<form id="quote-start-ozc72c2" action="#">
  <!-- start partial: m2-select-label.hbs -->
  <label for="gaq-product-ozc72c2"
    class="block w-full h-12 px-3 border-b border-sf-charcoal bg-white font-mecherlesans-reg text-sf-charcoal placeholder-current text-base transition-shadow focus-within:ring focus-within:ring-offset-2 focus-within:ring-sf-red relative mt-6"
    :class="{}">
    <span class="absolute -top-4 left-0 text-xs font-mecherlesans-demi">Select an Insurance Product</span>
    <div class="relative flex flex-row items-center w-full h-full -ml-1">
      <select id="gaq-product-ozc72c2" name="field-auto" @change="selectProduct()" x-model="productKey" aria-label="Product Quote Select" aria-controls="specific-location-info-ozc72c2"
        class="w-full pr-4 bg-white appearance-none cursor-pointer focus:outline-none">
        <template x-for="line in lineOptions">
          <option :value="line.key" x-text="line.label"></option>
        </template>
        <option :value="line.key" x-text="line.label" value="auto">Auto</option>
        <option :value="line.key" x-text="line.label" value="homeowners">Homeowners</option>
        <option :value="line.key" x-text="line.label" value="condo">Condo Owners</option>
        <option :value="line.key" x-text="line.label" value="renters">Renters</option>
        <option :value="line.key" x-text="line.label" value="life">Life</option>
        <option :value="line.key" x-text="line.label" value="hospital">Hospital Income</option>
        <option :value="line.key" x-text="line.label" value="medicare">Medicare Supplement</option>
        <option :value="line.key" x-text="line.label" value="pet">Pet Insurance</option>
      </select>
      <div class="-ml-4 pointer-events-none">
        <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
            <path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414Z" clip-rule="evenodd"></path>
          </svg></div>
      </div>
    </div>
  </label>
  <!-- end partial: m2-select-label.hbs -->
  <div class="flex flex-wrap mt-5 space-y-5">
    <div id="specific-location-info-ozc72c2" class="w-full">
      <!-- start partial: m2-text-label.hbs -->
      <div class="relative w-full " :class="{'hidden': type()!=='zip'}">
        <input id="gaq-zip-ozc72c2" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-label="Zipcode Input" aria-required="true" :aria-invalid="!isZipValid()"
          :aria-describedby="describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
        <label class="m2-form-label" for="gaq-zip-ozc72c2"> ZIP Code </label>
      </div>
      <!-- end partial: m2-text-label.hbs -->
      <!-- start partial: m2-select-label.hbs -->
      <label for="gaq-loc-ozc72c2"
        class="block w-full h-12 px-3 border-b border-sf-charcoal bg-white font-mecherlesans-reg text-sf-charcoal placeholder-current text-base transition-shadow focus-within:ring focus-within:ring-offset-2 focus-within:ring-sf-red relative hidden"
        :class="{'hidden': type()!=='loc'}">
        <span class="absolute -top-4 left-0 text-xs font-mecherlesans-demi">State Selection</span>
        <div class="relative flex flex-row items-center w-full h-full -ml-1">
          <select id="gaq-loc-ozc72c2" x-model="state" name="field-state" aria-label="State Selection" aria-required="true" :aria-describedby="describeErrorsID()" :aria-invalid="!isStateValid()"
            class="w-full pr-4 bg-white appearance-none cursor-pointer focus:outline-none" @keydown.enter.prevent="validate()" aria-describedby="">
            <option value="" selected="" hidden="">Your State</option>
            <option value="AL">Alabama</option>
            <option value="AK">Alaska</option>
            <option value="AZ">Arizona</option>
            <option value="AR">Arkansas</option>
            <option value="CA">California</option>
            <option value="CO">Colorado</option>
            <option value="CT">Connecticut</option>
            <option value="DE">Delaware</option>
            <option value="FL">Florida</option>
            <option value="GA">Georgia</option>
            <option value="HI">Hawaii</option>
            <option value="ID">Idaho</option>
            <option value="IL">Illinois</option>
            <option value="IN">Indiana</option>
            <option value="IA">Iowa</option>
            <option value="KS">Kansas</option>
            <option value="KY">Kentucky</option>
            <option value="LA">Louisiana</option>
            <option value="ME">Maine</option>
            <option value="MD">Maryland</option>
            <option value="MA">Massachusetts</option>
            <option value="MI">Michigan</option>
            <option value="MN">Minnesota</option>
            <option value="MS">Mississippi</option>
            <option value="MO">Missouri</option>
            <option value="MT">Montana</option>
            <option value="NE">Nebraska</option>
            <option value="NV">Nevada</option>
            <option value="NH">New Hampshire</option>
            <option value="NJ">New Jersey</option>
            <option value="NM">New Mexico</option>
            <option value="NY">New York</option>
            <option value="NC">North Carolina</option>
            <option value="ND">North Dakota</option>
            <option value="OH">Ohio</option>
            <option value="OK">Oklahoma</option>
            <option value="OR">Oregon</option>
            <option value="PA">Pennsylvania</option>
            <option value="RI">Rhode Island</option>
            <option value="SC">South Carolina</option>
            <option value="SD">South Dakota</option>
            <option value="TN">Tennessee</option>
            <option value="TX">Texas</option>
            <option value="UT">Utah</option>
            <option value="VT">Vermont</option>
            <option value="VA">Virginia</option>
            <option value="WA">Washington</option>
            <option value="DC">Washington, D.C.</option>
            <option value="WV">West Virginia</option>
            <option value="WI">Wisconsin</option>
            <option value="WY">Wyoming</option>
          </select>
          <div class="-ml-4 pointer-events-none">
            <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
                <path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414Z" clip-rule="evenodd"></path>
              </svg></div>
          </div>
        </div>
      </label>
      <!-- end partial: m2-select-label.hbs -->
    </div>
    <div class="w-full">
      <button @click.stop.prevent="validate()" type="button" :disabled="submitting" class="btn btn-primary"> Start a quote </button>
    </div>
  </div>
  <div role="alert" aria-atomic="true" :id="ariaDescribedByErrorsID" id="error-description-ozc72c2">
    <template x-for="error in errors">
      <h3 class="p-3 mt-4 border-2 font-mecherlesans-med text-sf-red-700 bg-sf-red-100 border-sf-red-700 rounded-2xl" x-html="error"></h3>
    </template>
  </div>
</form>

POST

<form x-show="!sendResponse &amp;&amp; !sending" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers">
  <h2 x-show="true" class="hidden text-2xl font-mecherlesans-med md:block"> You can also call us at <a :id="$id('phone-link-contact-form')" href="tel:7242166032" class="red-link">
                        (724) 216-6032
                    </a>
  </h2>
  <div class="flex flex-col min-w-0 md:mt-8 md:flex-row">
    <div class="w-full md:w-1/2 md:shrink-0 md:mr-8 lg:w-2/3 xl:m-0">
      <h2 class="mt-8 mb-4 text-2xl text-center font-mecherlesans-med md:hidden"> Contact Us </h2>
      <div class="flex flex-col w-full xl:flex-row">
        <div class="flex flex-col xl:h-full xl:justify-between xl:w-1/2 xl:pr-8">
          <div class="hidden mt-4 xl:block">
            <!-- start partial: m2-cf-prefs.hbs -->
            <fieldset x-id="[
        'xl-contact-form-pref-email',
        'xl-contact-form-pref-phone',
        'xl-contact-form-pref',
    ]">
              <legend class="text-sm uppercase"> Your preferred method of contact </legend>
              <ul class="mt-2 flex flex-row">
                <li>
                  <input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref"
                    @change="clearPrefErrors()">
                  <label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
                </li>
                <li>
                  <input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref"
                    @change="clearPrefErrors()">
                  <label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
                </li>
              </ul>
            </fieldset>
            <!-- end partial: m2-cf-prefs.hbs -->
          </div>
          <div class="xl:mt-6">
            <!-- start partial: m2-cf-contact-info.hbs -->
            <div class="flex flex-col w-full space-y-5" :class="{ &quot;lg:flex-row lg:space-x-4 lg:w-3/4&quot;: false }" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
              <!-- start partial: m2-cf-text-field.hbs -->
              <div class="relative w-full">
                <input :id="$id('contact-form-name')" class="m2-form-input peer" :class="{ &quot;bg-white&quot;: false, &quot;lg:mt-5&quot;: false }" name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text"
                  placeholder="Your Name" :aria-invalid="hasError('name')" :aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()">
                <label class="m2-form-label" :for="$id('contact-form-name')"> Your Name <span aria-hidden="true" x-show="hasError('name')"> * </span>
                </label>
              </div>
              <!-- end partial: m2-cf-text-field.hbs -->
              <!-- start partial: m2-cf-text-field.hbs -->
              <div class="relative w-full">
                <input :id="$id('contact-form-phone')" class="m2-form-input peer" :class="{ &quot;bg-white&quot;: false, &quot;lg:mt-5&quot;: false }" name="contact-form-phone" x-model="form.phone"
                  :aria-required="hasError('phone') &amp;&amp; form.pref == 'phone'" autocomplete="tel" type="text" placeholder="Your Phone" :aria-invalid="hasError('phone')" :aria-describedby="hasError('phone') ? $id('error', 'phone') : null"
                  :error="hasError('phone')" @keydown.debounce.750ms="validatePhone()">
                <label class="m2-form-label" :for="$id('contact-form-phone')"> Your Phone <span aria-hidden="true" x-show="hasError('phone')"> * </span>
                </label>
              </div>
              <!-- end partial: m2-cf-text-field.hbs -->
              <!-- start partial: m2-cf-text-field.hbs -->
              <div class="relative w-full">
                <input :id="$id('contact-form-email')" class="m2-form-input peer" :class="{ &quot;bg-white&quot;: false, &quot;lg:mt-5&quot;: false }" name="contact-form-email" x-model="form.email"
                  :aria-required="hasError('email') &amp;&amp; form.pref == 'email'" autocomplete="email" type="text" placeholder="Your Email" :aria-invalid="hasError('email')" :aria-describedby="hasError('email') ? $id('error', 'email') : null"
                  :error="hasError('email')" @keydown.debounce.750ms="validateEmail()">
                <label class="m2-form-label" :for="$id('contact-form-email')"> Your Email <span aria-hidden="true" x-show="hasError('email')"> * </span>
                </label>
              </div>
              <!-- end partial: m2-cf-text-field.hbs -->
            </div>
            <!-- end partial: m2-cf-contact-info.hbs -->
          </div>
        </div>
        <div class="flex-col hidden xl:w-1/2 md:flex xl:flex-col-reverse xl:justify-end">
          <div class="h-full mt-5">
            <!-- start partial: m2-cf-message.hbs -->
            <div class="relative h-full" x-id="[
        'md-contact-form-message'
    ]">
              <textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 xl:h-full" :class="{ &quot;bg-white&quot;: false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
                :aria-describedby="`${$id(&quot;message-warning&quot;)} ${hasError(&quot;message&quot;) ? $id(&quot;error&quot;, &quot;message&quot;) : &quot;&quot;}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
                :error="hasError('message')"></textarea>
              <label :for="$id('md-contact-form-message')" class="m2-form-label"> Your Message: <span aria-hidden="true" x-show="hasError('message')"> * </span>
              </label>
            </div>
            <!-- end partial: m2-cf-message.hbs -->
          </div>
          <div class="mt-4">
            <!-- start partial: cf-message-warning.hbs -->
            <p class="text-xs" :id="$id('message-warning')"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
            <!-- end partial: cf-message-warning.hbs -->
          </div>
        </div>
      </div>
    </div>
    <div class="flex flex-col w-full md:w-1/2 lg:w-1/3 xl:justify-between xl:pl-8" "="">
                        <div class=" mt-6 xl:hidden md:m-0">
      <!-- start partial: m2-cf-prefs.hbs -->
      <fieldset x-id="[
        'xl-contact-form-pref-email',
        'xl-contact-form-pref-phone',
        'xl-contact-form-pref',
    ]">
        <legend class="text-sm uppercase"> Your preferred method of contact </legend>
        <ul class="mt-2 flex flex-row">
          <li>
            <input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref" @change="clearPrefErrors()">
            <label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
          </li>
          <li>
            <input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref" @change="clearPrefErrors()">
            <label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
          </li>
        </ul>
      </fieldset>
      <!-- end partial: m2-cf-prefs.hbs -->
    </div>
    <div class="flex w-full mt-4 xl:h-full">
      <!-- start partial: m2-cf-more-info.hbs -->
      <fieldset class="flex w-full flex-col" x-id="['contact-form-checkbox-input']">
        <legend class="mb-2 text-sm uppercase"> I'd like more info about: <span aria-hidden="true" x-show="hasError('message')"> * </span>
        </legend>
        <div class="grid sm:grid-flow-col sm:grid-cols-2 sm:grid-rows-3 md:grid-cols-1 md:grid-rows-6 xl:h-full">
          <template x-for="(i, k) in moreVals" :key="i.id">
            <div :id="$id(`contact-form-checkbox-${i.id}`)" class="m2-contact-form-checkbox">
              <input :id="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-input absolute h-0 w-0 overflow-hidden border-none p-0" x-model="form.more" type="checkbox"
                :aria-describedby="hasError('message') ? $id('error', 'message') : null" :value="i.label" :aria-label="`${k + 1} of ${moreVals().length}, I'd like more info about ${i.label}`" :aria-invalid="hasError('more')"
                @click="validateMessage()">
              <label :for="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-label flex cursor-pointer items-center rounded py-2 pl-8 transition-all hover:bg-sf-charcoal-100">
                <svg viewBox="0 0 100 100" class="absolute left-1 h-4 w-4">
                  <path class="path" fill="none" stroke="#000" stroke-width="13" stroke-linecap="round" stroke-linejoin="round" stroke-miterlimit="10" d="M12.1 52.1l24.4 24.4 53-53"></path>
                </svg>
                <span class="text-sm" x-html="i.label"></span>
              </label>
            </div>
          </template>
        </div>
      </fieldset>
      <!-- end partial: m2-cf-more-info.hbs -->
    </div>
    <div class="mt-4 text-xs md:hidden">
      <!-- start partial: cf-message-warning.hbs -->
      <p class="text-xs" :id="$id('message-warning')"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
      <!-- end partial: cf-message-warning.hbs -->
    </div>
    <div class="mt-5 md:hidden">
      <!-- start partial: m2-cf-message.hbs -->
      <div class="relative h-full" x-id="[
        'md-contact-form-message'
    ]">
        <textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 " :class="{ &quot;bg-white&quot;: false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
          :aria-describedby="`${$id(&quot;message-warning&quot;)} ${hasError(&quot;message&quot;) ? $id(&quot;error&quot;, &quot;message&quot;) : &quot;&quot;}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
          :error="hasError('message')"></textarea>
        <label :for="$id('md-contact-form-message')" class="m2-form-label"> Your Message: <span aria-hidden="true" x-show="hasError('message')"> * </span>
        </label>
      </div>
      <!-- end partial: m2-cf-message.hbs -->
    </div>
  </div>
  </div>
  <div class="flex flex-col w-full mt-4 md:flex-row xl:justify-end">
    <div class="md:w-1/2 xl:w-1/3">
      <!-- start partial: m2-file-input.hbs -->
      <div x-ref="contactFormAttachments" class="w-full" x-data="initFileInput()">
        <div x-show="$store.fileList.length" class="w-full mb-2 text-xl italic text-center border-b-2 border-gray-400 border-dashed" x-text="$store.fileList.length + ' attached file' + ($store.fileList.length > 1 ? 's:' : ':')">
        </div>
        <template x-for="(att, idx) in $store.fileList">
          <div :key="idx" class="relative grid w-full grid-cols-4 p-4 my-2 flex-nowrap" :class="false ? 'bg-white' : 'bg-sf-charcoal-100'">
            <div class="flex justify-center h-12 col-span-1 mr-4">
              <img x-show="checkType(att) === 'img'" :id="att.name" class="object-contain" :alt="att.name">
              <template x-if="checkType(att) != 'img'">
                <div x-html="svgIcon(checkType(att), &quot;h-full&quot;)" class="h-full">
                </div>
              </template>
            </div>
            <div class="flex flex-col justify-center col-span-3 mr-1">
              <div class="flex flex-row w-full mb-1">
                <span :aria-label="`This file is ${friendlySize(att.size)} in size`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 text-xs rounded-full w-max bg-sf-charcoal-200" x-html="friendlySize(att.size)"></span>
                <span :aria-label="`This file is a ${friendlyExtension(att.name)} file`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 ml-1 text-xs rounded-full w-max bg-sf-charcoal-200"
                  x-html="friendlyExtension(att.name)"></span>
              </div>
              <p class="text-sm truncate md:text-base" x-text="att.name">
              </p>
            </div>
            <a href="#" :title="`Cancel upload of ${att.name}`" @click.prevent="removeFile(idx)" class="absolute top-0 p-2 right-1">
                <span class="red-link whitespace-nowrap">
                    <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 12 14" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet"><path d="M8.57 8.43 7.429 9.571a.249.249 0 0 1-.359 0L6 8.501l-1.07 1.07a.249.249 0 0 1-.359 0L3.43 8.43a.249.249 0 0 1 0-.359l1.07-1.07-1.07-1.07a.249.249 0 0 1 0-.359l1.141-1.141a.249.249 0 0 1 .359 0L6 5.501l1.07-1.07a.249.249 0 0 1 .359 0L8.57 5.572a.249.249 0 0 1 0 .359L7.5 7.001l1.07 1.07a.249.249 0 0 1 0 .359zM10.25 7c0-2.344-1.906-4.25-4.25-4.25S1.75 4.656 1.75 7 3.656 11.25 6 11.25 10.25 9.344 10.25 7zM12 7A6 6 0 0 1 0 7a6 6 0 0 1 12 0z"></path></svg></div>
                    Remove
                </span>
            </a>
          </div>
        </template>
        <div x-id="['m2-file-upload-input']">
          <label :for="$id(&quot;m2-file-upload-input&quot;)">
            <span role="button" class="text-lg btn btn-secondary" :aria-controls="$id(&quot;m2-file-upload-input&quot;)" tabindex="0" @keydown.enter="$refs['file-upload-input'].click()" @keydown.space="$refs['file-upload-input'].click()"
              x-text="`Add Attachments ${sizeRemainingMessage()}`">
            </span>
          </label>
          <input x-ref="file-upload-input" type="file" hidden="" :id="$id(&quot;m2-file-upload-input&quot;)" name="m2-cf-attachments" multiple="" :aria-disabled="tooManyBytes" :accept="acceptableFileTypes" @change="pickFiles($event.target.files)">
          <div class="mt-2 text-xs"> Please attach only <span x-text="readableExtensionList()"></span> file(s) — Unsupported file types will not be delivered to the agent. </div>
        </div>
      </div>
      <!-- end partial: m2-file-input.hbs -->
    </div>
    <div class="w-full mt-4 md:w-1/2 md:m-0 md:pl-8 xl:w-1/3">
      <!-- start partial: m2-cf-submit.hbs -->
      <button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button>
      <!-- end partial: m2-cf-submit.hbs -->
    </div>
  </div>
  <!-- start partial: m2-cf-errors.hbs -->
  <div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700">
    <!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
    <!-- "Please forgive this" -->
    <h3 class="font-mecherlesans-demi mb-2 text-xl"> Please correct the following: </h3>
    <ul class="list-inside list-disc">
      <template x-for="(message, key) in errors" :key="$id('error', key)">
        <li class="mb-1" :id="$id('error', key)" x-html="message"></li>
      </template>
    </ul>
  </div>
  <!-- end partial: m2-cf-errors.hbs -->
  <div id="disclaimers">
    <div class="mt-4">
      <!-- start partial: cf-disclaimer.hbs -->
      <p :id="$id('cf-disclaimer')" class="text-xs leading-3"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing
        purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you
        have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may
        apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. </p>
      <!-- end partial: cf-disclaimer.hbs -->
    </div>
    <p class="mt-2" x-show="!false">
      <!-- start partial: cf-coverage-disclaimer.hbs -->
    </p>
    <p class="text-xs leading-3">
      <span class="font-mecherlesans-bold"> Please note: </span> Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a
      licensed representative in the agent's office, or by contacting the State Farm toll-free customer service line at <a href="tel:8557337333" class="red-link">
        (855) 733-7333
    </a> .
    </p>
    <!-- end partial: cf-coverage-disclaimer.hbs -->
    <p></p>
  </div>
</form>

POST

<form x-show="!sendResponse &amp;&amp; !sending" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers">
  <h2 x-show="true" class="hidden text-2xl font-mecherlesans-med md:block"> You can also call us at <a :id="$id('phone-link-contact-form')" href="tel:7242166032" class="red-link">
                        (724) 216-6032
                    </a>
  </h2>
  <div class="flex flex-col min-w-0 md:mt-8 md:flex-row">
    <div class="w-full md:w-1/2 md:shrink-0 md:mr-8 lg:w-2/3 xl:m-0">
      <h2 class="mt-8 mb-4 text-2xl text-center font-mecherlesans-med md:hidden"> Contact Us </h2>
      <div class="flex flex-col w-full xl:flex-row">
        <div class="flex flex-col xl:h-full xl:justify-between xl:w-1/2 xl:pr-8">
          <div class="hidden mt-4 xl:block">
            <!-- start partial: m2-cf-prefs.hbs -->
            <fieldset x-id="[
        'xl-contact-form-pref-email',
        'xl-contact-form-pref-phone',
        'xl-contact-form-pref',
    ]">
              <legend class="text-sm uppercase"> Your preferred method of contact </legend>
              <ul class="mt-2 flex flex-row">
                <li>
                  <input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref"
                    @change="clearPrefErrors()">
                  <label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
                </li>
                <li>
                  <input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref"
                    @change="clearPrefErrors()">
                  <label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
                </li>
              </ul>
            </fieldset>
            <!-- end partial: m2-cf-prefs.hbs -->
          </div>
          <div class="xl:mt-6">
            <!-- start partial: m2-cf-contact-info.hbs -->
            <div class="flex flex-col w-full space-y-5" :class="{ &quot;lg:flex-row lg:space-x-4 lg:w-3/4&quot;: false }" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
              <!-- start partial: m2-cf-text-field.hbs -->
              <div class="relative w-full">
                <input :id="$id('contact-form-name')" class="m2-form-input peer" :class="{ &quot;bg-white&quot;: false, &quot;lg:mt-5&quot;: false }" name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text"
                  placeholder="Your Name" :aria-invalid="hasError('name')" :aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()">
                <label class="m2-form-label" :for="$id('contact-form-name')"> Your Name <span aria-hidden="true" x-show="hasError('name')"> * </span>
                </label>
              </div>
              <!-- end partial: m2-cf-text-field.hbs -->
              <!-- start partial: m2-cf-text-field.hbs -->
              <div class="relative w-full">
                <input :id="$id('contact-form-phone')" class="m2-form-input peer" :class="{ &quot;bg-white&quot;: false, &quot;lg:mt-5&quot;: false }" name="contact-form-phone" x-model="form.phone"
                  :aria-required="hasError('phone') &amp;&amp; form.pref == 'phone'" autocomplete="tel" type="text" placeholder="Your Phone" :aria-invalid="hasError('phone')" :aria-describedby="hasError('phone') ? $id('error', 'phone') : null"
                  :error="hasError('phone')" @keydown.debounce.750ms="validatePhone()">
                <label class="m2-form-label" :for="$id('contact-form-phone')"> Your Phone <span aria-hidden="true" x-show="hasError('phone')"> * </span>
                </label>
              </div>
              <!-- end partial: m2-cf-text-field.hbs -->
              <!-- start partial: m2-cf-text-field.hbs -->
              <div class="relative w-full">
                <input :id="$id('contact-form-email')" class="m2-form-input peer" :class="{ &quot;bg-white&quot;: false, &quot;lg:mt-5&quot;: false }" name="contact-form-email" x-model="form.email"
                  :aria-required="hasError('email') &amp;&amp; form.pref == 'email'" autocomplete="email" type="text" placeholder="Your Email" :aria-invalid="hasError('email')" :aria-describedby="hasError('email') ? $id('error', 'email') : null"
                  :error="hasError('email')" @keydown.debounce.750ms="validateEmail()">
                <label class="m2-form-label" :for="$id('contact-form-email')"> Your Email <span aria-hidden="true" x-show="hasError('email')"> * </span>
                </label>
              </div>
              <!-- end partial: m2-cf-text-field.hbs -->
            </div>
            <!-- end partial: m2-cf-contact-info.hbs -->
          </div>
        </div>
        <div class="flex-col hidden xl:w-1/2 md:flex xl:flex-col-reverse xl:justify-end">
          <div class="h-full mt-5">
            <!-- start partial: m2-cf-message.hbs -->
            <div class="relative h-full" x-id="[
        'md-contact-form-message'
    ]">
              <textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 xl:h-full" :class="{ &quot;bg-white&quot;: false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
                :aria-describedby="`${$id(&quot;message-warning&quot;)} ${hasError(&quot;message&quot;) ? $id(&quot;error&quot;, &quot;message&quot;) : &quot;&quot;}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
                :error="hasError('message')"></textarea>
              <label :for="$id('md-contact-form-message')" class="m2-form-label"> Your Message: <span aria-hidden="true" x-show="hasError('message')"> * </span>
              </label>
            </div>
            <!-- end partial: m2-cf-message.hbs -->
          </div>
          <div class="mt-4">
            <!-- start partial: cf-message-warning.hbs -->
            <p class="text-xs" :id="$id('message-warning')"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
            <!-- end partial: cf-message-warning.hbs -->
          </div>
        </div>
      </div>
    </div>
    <div class="flex flex-col w-full md:w-1/2 lg:w-1/3 xl:justify-between xl:pl-8" "="">
                        <div class=" mt-6 xl:hidden md:m-0">
      <!-- start partial: m2-cf-prefs.hbs -->
      <fieldset x-id="[
        'xl-contact-form-pref-email',
        'xl-contact-form-pref-phone',
        'xl-contact-form-pref',
    ]">
        <legend class="text-sm uppercase"> Your preferred method of contact </legend>
        <ul class="mt-2 flex flex-row">
          <li>
            <input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref" @change="clearPrefErrors()">
            <label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
          </li>
          <li>
            <input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref" @change="clearPrefErrors()">
            <label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
          </li>
        </ul>
      </fieldset>
      <!-- end partial: m2-cf-prefs.hbs -->
    </div>
    <div class="flex w-full mt-4 xl:h-full">
      <!-- start partial: m2-cf-more-info.hbs -->
      <fieldset class="flex w-full flex-col" x-id="['contact-form-checkbox-input']">
        <legend class="mb-2 text-sm uppercase"> I'd like more info about: <span aria-hidden="true" x-show="hasError('message')"> * </span>
        </legend>
        <div class="grid sm:grid-flow-col sm:grid-cols-2 sm:grid-rows-3 md:grid-cols-1 md:grid-rows-6 xl:h-full">
          <template x-for="(i, k) in moreVals" :key="i.id">
            <div :id="$id(`contact-form-checkbox-${i.id}`)" class="m2-contact-form-checkbox">
              <input :id="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-input absolute h-0 w-0 overflow-hidden border-none p-0" x-model="form.more" type="checkbox"
                :aria-describedby="hasError('message') ? $id('error', 'message') : null" :value="i.label" :aria-label="`${k + 1} of ${moreVals().length}, I'd like more info about ${i.label}`" :aria-invalid="hasError('more')"
                @click="validateMessage()">
              <label :for="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-label flex cursor-pointer items-center rounded py-2 pl-8 transition-all hover:bg-sf-charcoal-100">
                <svg viewBox="0 0 100 100" class="absolute left-1 h-4 w-4">
                  <path class="path" fill="none" stroke="#000" stroke-width="13" stroke-linecap="round" stroke-linejoin="round" stroke-miterlimit="10" d="M12.1 52.1l24.4 24.4 53-53"></path>
                </svg>
                <span class="text-sm" x-html="i.label"></span>
              </label>
            </div>
          </template>
        </div>
      </fieldset>
      <!-- end partial: m2-cf-more-info.hbs -->
    </div>
    <div class="mt-4 text-xs md:hidden">
      <!-- start partial: cf-message-warning.hbs -->
      <p class="text-xs" :id="$id('message-warning')"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
      <!-- end partial: cf-message-warning.hbs -->
    </div>
    <div class="mt-5 md:hidden">
      <!-- start partial: m2-cf-message.hbs -->
      <div class="relative h-full" x-id="[
        'md-contact-form-message'
    ]">
        <textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 " :class="{ &quot;bg-white&quot;: false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
          :aria-describedby="`${$id(&quot;message-warning&quot;)} ${hasError(&quot;message&quot;) ? $id(&quot;error&quot;, &quot;message&quot;) : &quot;&quot;}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
          :error="hasError('message')"></textarea>
        <label :for="$id('md-contact-form-message')" class="m2-form-label"> Your Message: <span aria-hidden="true" x-show="hasError('message')"> * </span>
        </label>
      </div>
      <!-- end partial: m2-cf-message.hbs -->
    </div>
  </div>
  </div>
  <div class="flex flex-col w-full mt-4 md:flex-row xl:justify-end">
    <div class="md:w-1/2 xl:w-1/3">
      <!-- start partial: m2-file-input.hbs -->
      <div x-ref="contactFormAttachments" class="w-full" x-data="initFileInput()">
        <div x-show="$store.fileList.length" class="w-full mb-2 text-xl italic text-center border-b-2 border-gray-400 border-dashed" x-text="$store.fileList.length + ' attached file' + ($store.fileList.length > 1 ? 's:' : ':')">
        </div>
        <template x-for="(att, idx) in $store.fileList">
          <div :key="idx" class="relative grid w-full grid-cols-4 p-4 my-2 flex-nowrap" :class="false ? 'bg-white' : 'bg-sf-charcoal-100'">
            <div class="flex justify-center h-12 col-span-1 mr-4">
              <img x-show="checkType(att) === 'img'" :id="att.name" class="object-contain" :alt="att.name">
              <template x-if="checkType(att) != 'img'">
                <div x-html="svgIcon(checkType(att), &quot;h-full&quot;)" class="h-full">
                </div>
              </template>
            </div>
            <div class="flex flex-col justify-center col-span-3 mr-1">
              <div class="flex flex-row w-full mb-1">
                <span :aria-label="`This file is ${friendlySize(att.size)} in size`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 text-xs rounded-full w-max bg-sf-charcoal-200" x-html="friendlySize(att.size)"></span>
                <span :aria-label="`This file is a ${friendlyExtension(att.name)} file`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 ml-1 text-xs rounded-full w-max bg-sf-charcoal-200"
                  x-html="friendlyExtension(att.name)"></span>
              </div>
              <p class="text-sm truncate md:text-base" x-text="att.name">
              </p>
            </div>
            <a href="#" :title="`Cancel upload of ${att.name}`" @click.prevent="removeFile(idx)" class="absolute top-0 p-2 right-1">
                <span class="red-link whitespace-nowrap">
                    <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 12 14" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet"><path d="M8.57 8.43 7.429 9.571a.249.249 0 0 1-.359 0L6 8.501l-1.07 1.07a.249.249 0 0 1-.359 0L3.43 8.43a.249.249 0 0 1 0-.359l1.07-1.07-1.07-1.07a.249.249 0 0 1 0-.359l1.141-1.141a.249.249 0 0 1 .359 0L6 5.501l1.07-1.07a.249.249 0 0 1 .359 0L8.57 5.572a.249.249 0 0 1 0 .359L7.5 7.001l1.07 1.07a.249.249 0 0 1 0 .359zM10.25 7c0-2.344-1.906-4.25-4.25-4.25S1.75 4.656 1.75 7 3.656 11.25 6 11.25 10.25 9.344 10.25 7zM12 7A6 6 0 0 1 0 7a6 6 0 0 1 12 0z"></path></svg></div>
                    Remove
                </span>
            </a>
          </div>
        </template>
        <div x-id="['m2-file-upload-input']">
          <label :for="$id(&quot;m2-file-upload-input&quot;)">
            <span role="button" class="text-lg btn btn-secondary" :aria-controls="$id(&quot;m2-file-upload-input&quot;)" tabindex="0" @keydown.enter="$refs['file-upload-input'].click()" @keydown.space="$refs['file-upload-input'].click()"
              x-text="`Add Attachments ${sizeRemainingMessage()}`">
            </span>
          </label>
          <input x-ref="file-upload-input" type="file" hidden="" :id="$id(&quot;m2-file-upload-input&quot;)" name="m2-cf-attachments" multiple="" :aria-disabled="tooManyBytes" :accept="acceptableFileTypes" @change="pickFiles($event.target.files)">
          <div class="mt-2 text-xs"> Please attach only <span x-text="readableExtensionList()"></span> file(s) — Unsupported file types will not be delivered to the agent. </div>
        </div>
      </div>
      <!-- end partial: m2-file-input.hbs -->
    </div>
    <div class="w-full mt-4 md:w-1/2 md:m-0 md:pl-8 xl:w-1/3">
      <!-- start partial: m2-cf-submit.hbs -->
      <button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button>
      <!-- end partial: m2-cf-submit.hbs -->
    </div>
  </div>
  <!-- start partial: m2-cf-errors.hbs -->
  <div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700">
    <!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
    <!-- "Please forgive this" -->
    <h3 class="font-mecherlesans-demi mb-2 text-xl"> Please correct the following: </h3>
    <ul class="list-inside list-disc">
      <template x-for="(message, key) in errors" :key="$id('error', key)">
        <li class="mb-1" :id="$id('error', key)" x-html="message"></li>
      </template>
    </ul>
  </div>
  <!-- end partial: m2-cf-errors.hbs -->
  <div id="disclaimers">
    <div class="mt-4">
      <!-- start partial: cf-disclaimer.hbs -->
      <p :id="$id('cf-disclaimer')" class="text-xs leading-3"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing
        purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you
        have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may
        apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. </p>
      <!-- end partial: cf-disclaimer.hbs -->
    </div>
    <p class="mt-2" x-show="!false">
      <!-- start partial: cf-coverage-disclaimer.hbs -->
    </p>
    <p class="text-xs leading-3">
      <span class="font-mecherlesans-bold"> Please note: </span> Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a
      licensed representative in the agent's office, or by contacting the State Farm toll-free customer service line at <a href="tel:8557337333" class="red-link">
        (855) 733-7333
    </a> .
    </p>
    <!-- end partial: cf-coverage-disclaimer.hbs -->
    <p></p>
  </div>
</form>

Text Content

CONTACT ANDREW FORISH FOR A PERSONALIZED QUOTE

Your Name *
Your Email or Phone *

For your protection, please do not include sensitive personal information such
as social security numbers, credit/debit card number, or health/medical
information.

Your Message: *
Send Email


PLEASE CORRECT THE FOLLOWING:

By filling out the form, you are providing express consent by electronic
signature that you may be contacted by telephone (via call and/or text messages)
and/or email for marketing purposes by State Farm Mutual Automobile Insurance
Company, its subsidiaries and affiliates ("State Farm") or an independent
contractor State Farm agent regarding insurance products and services using the
phone number and/or email address you have provided to State Farm, even if your
phone number is listed on a Do Not Call Registry. You further agree that such
contact may be made using an automatic telephone dialing system and/or
prerecorded voice (message and data rates may apply). Your consent is not a
condition of purchase. By continuing, you agree to the terms of the disclosures
above.

Please note: Insurance coverage cannot be bound or changed via submission of
this online e-mail form or via voice mail. To make policy changes or request
additional coverage, please speak with a licensed representative in the agent's
office, or by contacting the State Farm toll-free customer service line at (855)
733-7333 .


Close

Skip to content
Close

 * Log In
 * Contact Us
 * Jobs
 * Reviews
 * Insurance
   * Auto
   * Homeowners
   * Condo
   * Renters
   * Business
   * Life
   * Pet

 * Insurance
   
   * Auto
   * Homeowners
   * Condo
   * Renters
   * Business
   * Life
   * Pet
 * Reviews
 * Jobs
 * Contact Us
 * Log In


(724) 216-6032 Call

Text



STATE FARM® INSURANCE AGENT ANDREW FORISH


4.9 out of 5 average rating (77 reviews)
100 Terrace Ave
Apollo, PA 15613

Corner of Route 56 and Terrace Ave. We are between the Football field and the
bridge in Apollo.


Contact Us

Contact Us

Location Map & Directions

Get ID Card


ABOUT ME

I have State Farm experience starting in 2013 and insurance experience dating
back to 2010. I decided to open my own Local State Farm office in Greensburg, Pa
during April of 2017. We took over for Todd Watterson in Apollo, PA 15613
February 2020. Our Goal is to be your top Local State Farm Agent in
Pennsylvania, New York, Ohio, Maryland, and West Virginia . I grew up in the
Greensburg area and attended Hempfield Area High School. I am also an alumni of
Washington and Jefferson College in Western Pennsylvania . I spend most of my
free time Fly fishing, Golfing and Whitewater Kayaking. Feel free to stop in and
tell me about new streams :).

My office strives to provide our customers with the most efficient and
professional service in Auto Insurance, Home Insurance, Farm Insurance, Life
Insurance, Small Business Insurance including workers compensation in the
Pittsburgh Area including Westmoreland, Washington, Fayette, Indiana, Allegheny,
Greene, Butler, Jefferson, Cambria and Armstrong Counties and the surrounding
Western Pennsylvania Area . We can Assist with relocation to Pennsylvania, Ohio,
West Virginia, Maryland, and New York. We want to be your first and your
preferred choice for all of your Insurance Services needs. Call our office for a
FREE Car Insurance Quote and we will show you why State Farm has been in
business since 1922! We are available to help 24/7. Focus on free auto and
homeowners quotes for Apollo, Pa, Leechburg, PA, Avonmore, Pa, Vandergrift, PA,
Freeport, Pa, Greensburg, Pa, Latrobe, Pa, Jeannette, Pa, Irwin, Pa, North
Huntingdon, Pa, Derry, Pa, Blairsville, Pa, New Alexandria, Pa, Youngwood, Pa,
West Newton, Pa, Delmont, Pa, Export, Pa Murrysville, Pa, Monroeville, Pa,
Pittsburgh, PA, New Kensington, PA, Pittsburgh, Pa and the rest of Pennsylvania,
West Virginia, Ohio, New York and Maryland.

…Read More
 * 
 * 


4.9 out of 5 average rating (77 reviews)


OFFICE HOURS


Today

9am - 5pm (Eastern)
Mon-Fri
9am - 5pm
Sat-Sun
Closed
After Hours by Appointment
Call us 24 hours a day!
 * 
 * 


INSURANCE PRODUCTS OFFERED

Auto, Homeowners, Condo, Renters, Personal Articles, Business, Life, Health, Pet


OTHER PRODUCTS OFFERED

Banking, Annuities

View Licenses


WOULD YOU LIKE TO CREATE A PERSONALIZED QUOTE?

Select an Insurance Product
AutoHomeownersCondo OwnersRentersLifeHospital IncomeMedicare SupplementPet
Insurance

ZIP Code
State Selection
Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut
Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky
Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri
Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North
Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South
Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington
Washington, D.C. West Virginia Wisconsin Wyoming

Start a quote




Continue a saved quote Items needed for a quote
File a Claim Send Payment
 * 
 * 


4.9 out of 5 average rating (77 reviews)

Contact Us

Contact Us

Location Map & Directions

Get ID Card


WOULD YOU LIKE TO CREATE A PERSONALIZED QUOTE?

Select an Insurance Product
AutoHomeownersCondo OwnersRentersLifeHospital IncomeMedicare SupplementPet
Insurance

ZIP Code
State Selection
Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut
Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky
Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri
Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North
Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South
Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington
Washington, D.C. West Virginia Wisconsin Wyoming

Start a quote




Continue a saved quote Items needed for a quote
File a Claim Send Payment
 * Auto
   Insurance
 * Homeowners
   Insurance
 * Condo
   Insurance
 * Renters
   Insurance
 * Business
   Insurance
 * Life
   Insurance
 * Pet
   Insurance
 * 
   See More
   


OFFICE INFO




OFFICE INFO


ADDRESS

100 Terrace Ave
Apollo, PA 15613

Map & Directions
   


 * PHONE
   
   (800) 833-2991 (724) 216-6032 (724) 478-4271
   
   
   
   
   
   


 * FAX
   
   (724) 705-0545
   
   
   


LANGUAGES

English


About Me


I have State Farm experience starting in 2013 and insurance experience dating
back to 2010. I decided to open my own Local State Farm office in Greensburg, Pa
during April of 2017. We took over for Todd Watterson in Apollo, PA 15613
February 2020. Our Goal is to be your top Local State Farm Agent in
Pennsylvania, New York, Ohio, Maryland, and West Virginia . I grew up in the
Greensburg area and attended Hempfield Area High School. I am also an alumni of
Washington and Jefferson College in Western Pennsylvania . I spend most of my
free time Fly fishing, Golfing and Whitewater Kayaking. Feel free to stop in and
tell me about new streams :).

My office strives to provide our customers with the most efficient and
professional service in Auto Insurance, Home Insurance, Farm Insurance, Life
Insurance, Small Business Insurance including workers compensation in the
Pittsburgh Area including Westmoreland, Washington, Fayette, Indiana, Allegheny,
Greene, Butler, Jefferson, Cambria and Armstrong Counties and the surrounding
Western Pennsylvania Area . We can Assist with relocation to Pennsylvania, Ohio,
West Virginia, Maryland, and New York. We want to be your first and your
preferred choice for all of your Insurance Services needs. Call our office for a
FREE Car Insurance Quote and we will show you why State Farm has been in
business since 1922! We are available to help 24/7. Focus on free auto and
homeowners quotes for Apollo, Pa, Leechburg, PA, Avonmore, Pa, Vandergrift, PA,
Freeport, Pa, Greensburg, Pa, Latrobe, Pa, Jeannette, Pa, Irwin, Pa, North
Huntingdon, Pa, Derry, Pa, Blairsville, Pa, New Alexandria, Pa, Youngwood, Pa,
West Newton, Pa, Delmont, Pa, Export, Pa Murrysville, Pa, Monroeville, Pa,
Pittsburgh, PA, New Kensington, PA, Pittsburgh, Pa and the rest of Pennsylvania,
West Virginia, Ohio, New York and Maryland.


Products



INSURANCE PRODUCTS OFFERED

Auto, Homeowners, Condo, Renters, Personal Articles, Business, Life, Health, Pet


OTHER PRODUCTS OFFERED

Banking, Annuities


OFFICE INFO




OFFICE INFO


ADDRESS

100 Terrace Ave
Apollo, PA 15613

Map & Directions
   


 * PHONE
   
   (800) 833-2991 (724) 216-6032 (724) 478-4271
   
   
   
   
   
   


 * FAX
   
   (724) 705-0545
   
   
   


LANGUAGES

English


Simple Insights®



SIMPLE INSIGHTS®


WHY IS SUNSCREEN IMPORTANT?


WHY IS SUNSCREEN IMPORTANT?

Learn the ins and outs of sun protection and importance of sunscreen from this
handy infographic.
Read More


CAN A POWER SURGE DAMAGE MY ELECTRONICS?


CAN A POWER SURGE DAMAGE MY ELECTRONICS?

Prevent power surges from zapping your electronics and protect your property
from electrical hazards by following these tips from State Farm.
Read More


THE REAL CONSEQUENCES OF DRUNK DRIVING


THE REAL CONSEQUENCES OF DRUNK DRIVING

What's at stake if you're caught drunk driving? A lot. These tips help you avoid
the dangers of drinking and driving.
Read More
View More Articles

Videos



VIDEOS

LEGACY OF SAFETY



Audio Transcript

WEB DEVELOPMENT FOR A GOOD CAUSE WITH 48IN48



Audio Transcript
Contact Us Our Mission Our Team We're Hiring


YOU CAN ALSO CALL US AT (724) 216-6032


CONTACT US

Your preferred method of contact
 * Your Email
 * Your Phone

Your Name *
Your Phone *
Your Email *
Your Message: *

For your protection, please do not include sensitive personal information such
as social security numbers, credit/debit card number, or health/medical
information.

Your preferred method of contact
 * Your Email
 * Your Phone

I'd like more info about: *


For your protection, please do not include sensitive personal information such
as social security numbers, credit/debit card number, or health/medical
information.

Your Message: *


Remove
Please attach only file(s) — Unsupported file types will not be delivered to the
agent.
Send Email


PLEASE CORRECT THE FOLLOWING:

By filling out the form, you are providing express consent by electronic
signature that you may be contacted by telephone (via call and/or text messages)
and/or email for marketing purposes by State Farm Mutual Automobile Insurance
Company, its subsidiaries and affiliates ("State Farm") or an independent
contractor State Farm agent regarding insurance products and services using the
phone number and/or email address you have provided to State Farm, even if your
phone number is listed on a Do Not Call Registry. You further agree that such
contact may be made using an automatic telephone dialing system and/or
prerecorded voice (message and data rates may apply). Your consent is not a
condition of purchase. By continuing, you agree to the terms of the disclosures
above.



Please note: Insurance coverage cannot be bound or changed via submission of
this online e-mail form or via voice mail. To make policy changes or request
additional coverage, please speak with a licensed representative in the agent's
office, or by contacting the State Farm toll-free customer service line at (855)
733-7333 .





Our office strives to provide our customers with the most efficient and
professional service in the Pittsburgh Area including Apollo and the Kiski
Valley and the rest of Pennsylvania . We take time to complete a personalized
comprehensive review of our customer's Insurance needs. We want to be the first
and preferred choice for all of our customers' Insurance and Financial Services
needs in Apollo, Vandergift, Leechburg, Greensburg, Latrobe, Kittanning, the
Pittsburgh region and all of Pennsylvania, Ohio, West Virginia, New York and
Maryland. Call us for your Auto and Car Insurance, Home Insurance, Business
Insurance, and Life Insurance needs.

…Read More

Our team is dedicated to serving the Apollo, Leechburg, Kittaning, Greensburg,
Latrobe, Jeannette, Irwin, Westmoreland, Armstrong, Butler, Somerset, Allegheny,
the rest of Pennsylvania, New York, Ohio, Maryland, and West Virginia. We have a
goal of treating all of our customers with respect and making sure our customers
have proper coverage at the most competitive price.


AW

ALLYSSA WILSON

Property & Casualty Representative

Born and raised in Greensburg, Pa. and excited to now be in Apollo, PA. I
started my insurance career in 2017. I am licensed in Auto Insurance, Car
Insurance, Fire Insurance and banking products. I have a beautiful 3 year old
daughter, whom I absolutely adore. I spend my spare time with my loving family
and friends. My main goal in life is to help make this world a better place for
my daughter to grow up and live in. I take pride in that my job helps people
protect themselves, family, and loved ones. I have a passion for making people
feel comfortable and helping out in any way that I can. Our team will go above
and beyond for our customers to make them feel safe and right at home.

…Read More
JB

JOE BACCAMAZZI

Account Representative

As a lifetime native of Indiana, Pa., I’ve always valued the sense of local
community in our corner of the state. I graduated from Indiana University of Pa.
with a degree in sports journalism and spent more than five years working for my
hometown newspaper, bringing high school athletics to families and readers
throughout the area. Before long, I had taken on covering major college programs
and professional football. Then the market oversaturated and, finally, the
sports world grinded to a halt early in 2020. Andrew brought me to his office
one day to spell-check a few of his emails, and it quickly blossomed into a full
career change. My definition of “coverage” changed forever. And now my goal is
to provide an essential service by helping to protect our customers, their loved
ones and their community. I enjoy kayaking and golfing in my spare time.
Someday, I’d like to write a book, maybe a crime novel. Until then, give me a
call or stop in to see me any time. We can talk sports, and I will happily quote
your home and autos for your trouble. ~

…Read More
JK

JOHN KINNAMON

Personal Account Representative

Licensed in home, auto, life and health; there’s really not much I haven’t
helped someone with in my 16 plus years with State Farm.  I’m the father of two
young adults, I play golf, coach high school softball and I love what I do here
at State Farm.  Favorite job, ever! 

…Read More
AH

A RAE ANN HOLLIS

Account Representative

 I have lived in the Apollo area for most of my adult life.  I graduated from
Elderton Jr. Sr. High  & Clarion State College. I began working in this office
in 2011 for Todd Watterson and continued working for Andrew Forish in February
of 2020 when he became the Agent after Todd retired.  I love working with
customers for their auto insurance, home insurance, and life insurance needs
around Apollo, Vandergrift,  Kiski Valley,  Leechburg,  Salina, Greensburg,
Latrobe, Pittsburgh and the surrounding Westmoreland, Armstrong, Indiana, and
Allegheny Counties.  When I am not at work, I enjoy time with family and
fabulous friends. I also enjoy gardening and hunting for bargains.

…Read More
AW

ASHTON WOLFE

Account Associate




OUR AGENCY

https://andrewforish.sfagentjobs.com/jobs parsing job listing domain
Learn more about our agency and the career opportunities with us.
Available Positions

https://andrewforish.sfagentjobs.com/jobs

Click to view all of Andrew's current openings!

Please Note: This opportunity is about potential employment with an independent
contractor agent who solicits applications for State Farm products and services,
and does NOT result in employment with any of the State Farm Insurance
Companies. The employment selection decision , terms and conditions of
employment (such as compensation and benefits) are all determined solely by the
independent contractor agent.


YOU CAN ALSO CALL US AT (724) 216-6032


CONTACT US

Your preferred method of contact
 * Your Email
 * Your Phone

Your Name *
Your Phone *
Your Email *
Your Message: *

For your protection, please do not include sensitive personal information such
as social security numbers, credit/debit card number, or health/medical
information.

Your preferred method of contact
 * Your Email
 * Your Phone

I'd like more info about: *


For your protection, please do not include sensitive personal information such
as social security numbers, credit/debit card number, or health/medical
information.

Your Message: *


Remove
Please attach only file(s) — Unsupported file types will not be delivered to the
agent.
Send Email


PLEASE CORRECT THE FOLLOWING:

By filling out the form, you are providing express consent by electronic
signature that you may be contacted by telephone (via call and/or text messages)
and/or email for marketing purposes by State Farm Mutual Automobile Insurance
Company, its subsidiaries and affiliates ("State Farm") or an independent
contractor State Farm agent regarding insurance products and services using the
phone number and/or email address you have provided to State Farm, even if your
phone number is listed on a Do Not Call Registry. You further agree that such
contact may be made using an automatic telephone dialing system and/or
prerecorded voice (message and data rates may apply). Your consent is not a
condition of purchase. By continuing, you agree to the terms of the disclosures
above.



Please note: Insurance coverage cannot be bound or changed via submission of
this online e-mail form or via voice mail. To make policy changes or request
additional coverage, please speak with a licensed representative in the agent's
office, or by contacting the State Farm toll-free customer service line at (855)
733-7333 .






AGENT LICENSES FOR ANDREW FORISH

PA-585371
NY-LA-1609828
NY-PC-1609828
OH-1285407
WV-15945012
MD-3000817711

If you are using a screen reader and having difficulty with this website please
call (724) 216-6032 .



DISCLOSURES

Life Insurance and annuities are issued by State Farm Life Insurance Company.
(Not Licensed in MA, NY, and WI) State Farm Life and Accident Assurance Company
(Licensed in New York and Wisconsin) Home Office, Bloomington, Illinois.

Deposit products offered by U.S. Bank National Association. Member FDIC.

Pet insurance products are underwritten in the United States by American Pet
Insurance Company and ZPIC Insurance Company, 6100-4th Ave. S, Seattle, WA
98108. Administered by Trupanion Managers USA, Inc. (CA license No. 0G22803, NPN
9588590). Terms and conditions apply, see full policy on Trupanion's website for
details. State Farm Mutual Automobile Insurance Company, its subsidiaries and
affiliates, neither offer nor are financially responsible for pet insurance
products. State Farm is a separate entity and is not affiliated with Trupanion
or American Pet Insurance.

Pre-existing conditions: If you currently have a pet medical insurance policy,
switching carriers or purchasing a new policy may affect certain provisions such
as coverages for pre-existing conditions or deductibles already established
under your current policy. Let your State Farm® agent know if your existing
policy has provisions that might make it beneficial for you to keep.

State Farm (including State Farm Mutual Automobile Insurance Company and its
subsidiaries and affiliates) is not responsible for, and does not endorse or
approve, either implicitly or explicitly, the content of any third party sites
referenced in this material. Products and services are offered by third parties
and State Farm does not warrant the merchantability, fitness or quality of the
products and services of the third parties.

State Farm VP Management Corp. is a separate entity from those State Farm
entities which provide banking and insurance products. Investing involves risk,
including potential for loss.

Neither State Farm nor its agents provide tax or legal advice. Please consult a
tax or legal advisor for advice regarding your personal circumstances.


LIKE A GOOD NEIGHBOR, STATE FARM IS THERE.®

Ads & Tracking Security & Fraud Accessibility Terms of Use Notice of Privacy
Policy State Privacy Rights Site Map

(724) 216-6032
Download the State Farm mobile app today

© Copyright State Farm Mutual Automobile Insurance Company 2023.