www.minerfamilyinsurance.com Open in urlscan Pro
199.34.228.69 Public Scan

Back to summary

Submitted URL:
https://minerfamilyinsurance.com/umbrella-insurance-quote.html
Effective URL:
https://www.minerfamilyinsurance.com/umbrella-insurance-quote.html
Submission: On October 30 via api (October 30th 2024, 7:25:38 am UTC) from US — Scanned from US

Form analysis
1 forms found in the DOM

POST //www.weebly.com/weebly/apps/formSubmitAjax.php

<form enctype="multipart/form-data" action="//www.weebly.com/weebly/apps/formSubmitAjax.php" method="POST" id="form-838280349830773500" accept-charset="UTF-8" target="form-838280349830773500-target-1730273131538">
  <div id="838280349830773500-form-parent" class="wsite-form-container" style="margin-top:10px;">
    <ul class="formlist" id="838280349830773500-form-list">
      <label class="wsite-form-label wsite-form-fields-required-label"><span class="form-required">*</span> Indicates required field</label>
      <div>
        <div class="wsite-multicol">
          <div class="wsite-multicol-table-wrap" style="margin:0 -15px;">
            <table class="wsite-multicol-table">
              <tbody class="wsite-multicol-tbody">
                <tr class="wsite-multicol-tr">
                  <td class="wsite-multicol-col" style="width:50%; padding:0 15px;">
                    <div>
                      <div class="wsite-form-field" style="margin:5px 0px 0px 0px;">
                        <label class="wsite-form-label" for="input-412446849170198766">How Many Vehicles Do You Own? <span class="form-required">*</span><span class="wsite-instructions-help"></span></label>
                        <div class="wsite-form-radio-container">
                          <select id="input-412446849170198766" name="_u412446849170198766" class="form-select" aria-required="true">
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6+">6+</option>
                            <option value="None">None</option>
                          </select>
                        </div>
                        <div id="instructions-How Many Vehicles Do You Own?" class="wsite-form-instructions" style="display:none;">Please enter the number of personal vehicles owned by you or your spouse.</div>
                      </div>
                    </div>
                    <div>
                      <div class="wsite-form-field" style="margin:5px 0px 0px 0px;">
                        <label class="wsite-form-label" for="input-696260351405048297">How Many Properties Do You Own? <span class="form-required">*</span><span class="wsite-instructions-help"></span></label>
                        <div class="wsite-form-radio-container">
                          <select id="input-696260351405048297" name="_u696260351405048297" class="form-select" aria-required="true">
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5+">5+</option>
                            <option value="None">None</option>
                          </select>
                        </div>
                        <div id="instructions-How Many Properties Do You Own?" class="wsite-form-instructions" style="display:none;">Please enter the number of properties you or your spouse own. </div>
                      </div>
                    </div>
                  </td>
                  <td class="wsite-multicol-col" style="width:50%; padding:0 15px;">
                    <div>
                      <div class="wsite-form-field" style="margin:5px 0px 0px 0px;">
                        <label class="wsite-form-label" for="input-269966223141936377">Household Traffic Tickets in the Past 3 Years <span class="form-required">*</span><span class="wsite-instructions-help"></span></label>
                        <div class="wsite-form-radio-container">
                          <select id="input-269966223141936377" name="_u269966223141936377" class="form-select" aria-required="true">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7+">7+</option>
                          </select>
                        </div>
                        <div id="instructions-Household Traffic Tickets in the Past 3 Years" class="wsite-form-instructions" style="display:none;">Please enter the total number of traffic tickets received by drivers in your household in the past 3
                          years.</div>
                      </div>
                    </div>
                    <div>
                      <div class="wsite-form-field" style="margin:5px 0px 0px 0px;">
                        <label class="wsite-form-label" for="input-160934694208287073">Household accidents in the past 3 years <span class="form-required">*</span><span class="wsite-instructions-help"></span></label>
                        <div class="wsite-form-radio-container">
                          <select id="input-160934694208287073" name="_u160934694208287073" class="form-select" aria-required="true">
                            <option value="0">0</option>
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6+">6+</option>
                          </select>
                        </div>
                        <div id="instructions-Household accidents in the past 3 years" class="wsite-form-instructions" style="display:none;">Please enter the total number of insurance claims that have occurred in the household in the past 3 years.
                        </div>
                      </div>
                    </div>
                  </td>
                </tr>
              </tbody>
            </table>
          </div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field" style="margin:5px 0px 0px 0px;">
          <label class="wsite-form-label" for="input-829042891920999947">Amount of Coverage Desired <span class="form-required">*</span><span class="wsite-instructions-help"></span></label>
          <div class="wsite-form-radio-container">
            <select id="input-829042891920999947" name="_u829042891920999947" class="form-select" aria-required="true">
              <option value="$1,000,000">$1,000,000</option>
              <option value="$2,000,000">$2,000,000</option>
              <option value="$3,000,000">$3,000,000</option>
              <option value="$4,000,000">$4,000,000</option>
              <option value="$5,000,000">$5,000,000</option>
              <option value="$10,000,000+">$10,000,000+</option>
            </select>
          </div>
          <div id="instructions-Amount of Coverage Desired" class="wsite-form-instructions" style="display:none;">Please enter the amount of umbrella insurance coverage you would like on this umbrella insurance quote.</div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label" for="input-382658899925875393">When would you like this policy to start? <span class="form-required">*</span><span class="wsite-instructions-help"></span></label>
          <div class="wsite-form-input-container">
            <input aria-required="true" id="input-382658899925875393" class="wsite-form-input wsite-input wsite-input-width-370px" type="text" name="_u382658899925875393">
          </div>
          <div id="instructions-382658899925875393" class="wsite-form-instructions" style="display:none;">When would you like this umbrella insurance policy to go into effect?</div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field wsite-address-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label">Address <span class="form-required">*</span><span class="wsite-instructions-help"></span></label>
          <div class="wsite-form-input-container">
            <input id="input-881366944427573795" class="wsite-form-input wsite-input" placeholder="Line 1" type="text" name="_u881366944427573795[line1]" aria-required="true">
            <label class="wsite-form-sublabel" for="input-881366944427573795">Line 1</label>
          </div>
          <div class="wsite-form-input-container">
            <input id="input-881366944427573795-1" class="wsite-form-input" type="text" placeholder="Line 2" name="_u881366944427573795[line2]" aria-required="false">
            <label class="wsite-form-sublabel" for="input-881366944427573795-1">Line 2</label>
          </div>
          <div class="wsite-form-input-container wsite-form-left wsite-address-short">
            <input id="input-881366944427573795-2" class="wsite-form-input" type="text" placeholder="City" name="_u881366944427573795[city]" aria-required="true">
            <label class="wsite-form-sublabel" for="input-881366944427573795-2">City</label>
          </div>
          <div class="wsite-form-input-container wsite-form-right wsite-address-short">
            <input id="input-881366944427573795-3" class="wsite-form-input" type="text" placeholder="State" name="_u881366944427573795[state]" aria-required="true">
            <label class="wsite-form-sublabel" for="input-881366944427573795-3">State</label>
          </div>
          <div class="wsite-form-input-container wsite-form-left wsite-address-short">
            <input id="input-881366944427573795-4" class="wsite-form-input" type="text" placeholder="Zip Code" name="_u881366944427573795[zip]" aria-required="true">
            <label class="wsite-form-sublabel" for="input-881366944427573795-4">Zip Code</label>
          </div>
          <div class="wsite-form-input-container wsite-form-right wsite-form-element-country wsite-address-short">
            <input id="input-881366944427573795-5" class="wsite-form-input" type="text" placeholder="Country" name="_u881366944427573795[country]" aria-required="true">
            <label class="wsite-form-sublabel" for="input-881366944427573795-5">Country</label>
          </div>
          <div id="instructions-881366944427573795" class="wsite-form-instructions" style="display:none;">Please enter your mailing address.</div>
        </div>
        <div style="clear:both;"></div>
      </div>
      <div>
        <div class="wsite-form-field wsite-name-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label">Name <span class="form-required">*</span><span class="wsite-instructions-help"></span></label>
          <div style="clear:both;"></div>
          <div class="wsite-form-input-container wsite-form-left wsite-form-input-first-name">
            <input aria-required="true" id="input-296410728501223865" class="wsite-form-input wsite-input" placeholder="First" type="text" name="_u296410728501223865[first]">
            <label class="wsite-form-sublabel" for="input-296410728501223865">First</label>
          </div>
          <div class="wsite-form-input-container wsite-form-right wsite-form-input-last-name">
            <input aria-required="true" id="input-296410728501223865-1" class="wsite-form-input wsite-input" placeholder="Last" type="text" name="_u296410728501223865[last]">
            <label class="wsite-form-sublabel" for="input-296410728501223865-1">Last</label>
          </div>
          <div id="instructions-296410728501223865" class="wsite-form-instructions" style="display:none;">Please enter your first and last name.</div>
        </div>
        <div style="clear:both;"></div>
      </div>
      <div>
        <div class="wsite-form-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label" for="input-384530995988467595">Email <span class="form-required">*</span><span class="wsite-instructions-help"></span></label>
          <div class="wsite-form-input-container">
            <input aria-required="true" id="input-384530995988467595" class="wsite-form-input wsite-input wsite-input-width-370px" type="text" name="_u384530995988467595">
          </div>
          <div id="instructions-384530995988467595" class="wsite-form-instructions" style="display:none;">Please enter an email address where we can contact you about this umbrella insurance quote.</div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field wsite-phone-field" style="margin-top:5px;">
          <label class="wsite-form-label" for="input-393779331293185105">Phone Number <span class="form-not-required">*</span><span class="wsite-instructions-help"></span></label>
          <div style="clear:both;"></div>
          <div class="wsite-form-input-container wsite-form-left" style="margin-bottom:5px;">
            <input id="input-393779331293185105" class="wsite-form-input wsite-input" type="text" name="_u393779331293185105[number]">
          </div>
          <div id="instructions-393779331293185105" class="wsite-form-instructions" style="display:none;">Please enter a phone number where we can contact you about this umbrella insurance quote.</div>
        </div>
        <div style="clear:both;"></div>
      </div>
      <div>
        <div class="wsite-form-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label" for="input-839670786740218925">Comment <span class="form-not-required">*</span><span class="wsite-instructions-help"></span></label>
          <div class="wsite-form-input-container">
            <textarea id="input-839670786740218925" class="wsite-form-input wsite-input wsite-input-width-370px" name="_u839670786740218925" style="height: 50px"></textarea>
          </div>
          <div id="instructions-839670786740218925" class="wsite-form-instructions" style="display:none;">Please enter any other additional information we may need to know in order to provide you an accurate umbrella insurance quote.</div>
        </div>
      </div>
      <div>
        <div id="280531267272620147" align="left" style="width: 100%; overflow-y: hidden;" class="wcustomhtml">
          <div class="wsite-form-field" style="margin:10px 0 0 0;">
            <label class="wsite-form-label">🔒 Your information is secure.<span class="wsite-instructions-help"></span></label>
            <div class="wsite-form-instructions" style="display:none;">Your private information is provided exclusively to our agency and will not be redistributed or sold to anyone else.</div>
          </div>
        </div>
      </div>
    </ul>
  </div>
  <div style="display:none; visibility:hidden;">
    <input type="hidden" name="wsite_subject">
  </div>
  <div style="text-align:left; margin-top:10px; margin-bottom:10px;">
    <input type="hidden" name="form_version" value="2">
    <input type="hidden" name="wsite_approved" id="wsite-approved" value="approved">
    <input type="hidden" name="ucfid" value="838280349830773500">
    <input type="hidden" name="recaptcha_token">
    <input type="submit" role="button" aria-label="Get QUOTE" value="Get QUOTE" style="position:absolute;top:0;left:-9999px;width:1px;height:1px">
    <a class="wsite-button">
				<span class="wsite-button-inner">Get QUOTE</span>
			</a>
  </div>
  <input type="hidden" id="formLocation" name="formLocation" value="www.minerfamilyinsurance.com">
</form>

Text Content

ALREADY INSURED? COMPARE YOUR RATES:    COMPARE MY INSURANCE
 * Home
 * Quotes
 * Insurance
 * About
 * Blog


UMBRELLA INSURANCE QUOTES


COMPLETE THE DETAILS BELOW TO GET YOUR FREE UMBRELLA INSURANCE QUOTE


Contact us


* Indicates required field
How Many Vehicles Do You Own? *
1 2 3 4 5 6+ None
Please enter the number of personal vehicles owned by you or your spouse.
How Many Properties Do You Own? *
1 2 3 4 5+ None
Please enter the number of properties you or your spouse own.
Household Traffic Tickets in the Past 3 Years *
0 1 2 3 4 5 6 7+
Please enter the total number of traffic tickets received by drivers in your
household in the past 3 years.
Household accidents in the past 3 years *
0 1 2 3 4 5 6+
Please enter the total number of insurance claims that have occurred in the
household in the past 3 years.

Amount of Coverage Desired *
$1,000,000 $2,000,000 $3,000,000 $4,000,000 $5,000,000 $10,000,000+
Please enter the amount of umbrella insurance coverage you would like on this
umbrella insurance quote.
When would you like this policy to start? *

When would you like this umbrella insurance policy to go into effect?
Address *
Line 1
Line 2
City
State
Zip Code
Country
Please enter your mailing address.

Name *

First
Last
Please enter your first and last name.

Email *

Please enter an email address where we can contact you about this umbrella
insurance quote.
Phone Number *


Please enter a phone number where we can contact you about this umbrella
insurance quote.

Comment *

Please enter any other additional information we may need to know in order to
provide you an accurate umbrella insurance quote.
🔒 Your information is secure.
Your private information is provided exclusively to our agency and will not be
redistributed or sold to anyone else.


Get QUOTE

Get your umbrella insurance quote today


NAVIGATION

Homepage
Insurance Quotes
Policy Service
Insurance Products
Contact Us
Agent Login


CONNECT WITH US




SHARE THIS PAGE




CONTACT US

Miner Family Insurance
3209 S Broadway
Suite 229
Edmond, OK 73013
(405) 724-2389
Click Here to Email Us


LOCATION



Homepage banner credit: Greater Oklahoma City by  Lillie-Beth Brinkman
lbrinkman@okcchamber.com (CC BY-SA 3.0)
 * Home
 * Quotes
 * Insurance
 * About
 * Blog

 * Back
 * Quotes
 * Auto Quotes >
 * Property Quotes >
 * Life & Financial Quotes >
 * Business Quotes >
 * Health Insurance Quote
 * Other Quotes >

 * Back
 * Auto Insurance Quote
 * Motorcycle Quote
 * RV Insurance Quote
 * Classic Car Insurance Quote
 * ATV Insurance Quote

 * Back
 * Home Insurance Quote
 * Landlords Insurance Quote
 * Renters Insurance Quote
 * Earthquake Insurance Quote
 * Flood Insurance Quote

 * Back
 * Life Insurance Quote
 * Final Expense Insurance Quote

 * Back
 * Business Insurance Quote
 * Workers Compensation Quote
 * Business Owners Package (BOP) Insurance Quote

 * Back
 * Other Quotes >
 * Boat Insurance Quote
 * Event Insurance Quote
 * Umbrella Insurance Quote
 * Travel Insurance Quote
 * Wedding Insurance Quote

 * Back
 * Insurance
 * Vehicles >
 * Property >
 * Life/Financial >
 * Business >
 * Other >

 * Back
 * Auto Insurance
 * ATV Insurance
 * Classic Car Insurance
 * Motorcycle Insurance
 * RV Insurance

 * Back
 * Home Insurance
 * Earthquake Insurance
 * Flood Insurance
 * Landlords Insurance
 * Renters Insurance

 * Back
 * Life Insurance
 * Final Expense Insurance

 * Back
 * Business Insurance
 * Business Owners Package (BOP) Insurance
 * Insurance Bonds
 * Workers Compensation

 * Back
 * Boat Insurance
 * Event Insurance
 * Travel Insurance
 * Wedding Insurance
 * Umbrella Insurance

 * Back
 * About
 * Client Testimonials
 * Refer a Friend
 * Insurance Carriers
 * Book An Appointment
 * Accessibility Statement


Please ensure Javascript is enabled for purposes of website accessibility
Please enter the number of personal vehicles owned by you or your spouse.
Please enter the number of properties you or your spouse own.
Please enter the total number of traffic tickets received by drivers in your
household in the past 3 years.
Please enter the total number of insurance claims that have occurred in the
household in the past 3 years.
Please enter the amount of umbrella insurance coverage you would like on this
umbrella insurance quote.
When would you like this umbrella insurance policy to go into effect?
Please enter your mailing address.
Please enter your first and last name.
Please enter an email address where we can contact you about this umbrella
insurance quote.
Please enter a phone number where we can contact you about this umbrella
insurance quote.
Please enter any other additional information we may need to know in order to
provide you an accurate umbrella insurance quote.
Your private information is provided exclusively to our agency and will not be
redistributed or sold to anyone else.
 * Auto Quotes >
    * Auto Insurance Quote
    * Motorcycle Quote
    * RV Insurance Quote
    * Classic Car Insurance Quote
    * ATV Insurance Quote

 * Property Quotes >
    * Home Insurance Quote
    * Landlords Insurance Quote
    * Renters Insurance Quote
    * Earthquake Insurance Quote
    * Flood Insurance Quote

 * Life & Financial Quotes >
    * Life Insurance Quote
    * Final Expense Insurance Quote

 * Business Quotes >
    * Business Insurance Quote
    * Workers Compensation Quote
    * Business Owners Package (BOP) Insurance Quote

 * Health Insurance Quote
 * Other Quotes >
    * Boat Insurance Quote
    * Event Insurance Quote
    * Umbrella Insurance Quote
    * Travel Insurance Quote
    * Wedding Insurance Quote

 * Vehicles >
    * Auto Insurance
    * ATV Insurance
    * Classic Car Insurance
    * Motorcycle Insurance
    * RV Insurance

 * Property >
    * Home Insurance
    * Earthquake Insurance
    * Flood Insurance
    * Landlords Insurance
    * Renters Insurance

 * Life/Financial >
    * Life Insurance
    * Final Expense Insurance

 * Business >
    * Business Insurance
    * Business Owners Package (BOP) Insurance
    * Insurance Bonds
    * Workers Compensation

 * Other >
    * Boat Insurance
    * Event Insurance
    * Travel Insurance
    * Wedding Insurance
    * Umbrella Insurance

 * Client Testimonials
 * Refer a Friend
 * Insurance Carriers
 * Book An Appointment
 * Accessibility Statement

www.minerfamilyinsurance.com Open in urlscan Pro 199.34.228.69 Public Scan

Form analysis 1 forms found in the DOM

POST //www.weebly.com/weebly/apps/formSubmitAjax.php

Text Content

www.minerfamilyinsurance.com Open in urlscan Pro
199.34.228.69 Public Scan

Form analysis
1 forms found in the DOM