my.dairylandinsurance.com
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https://my.dairylandinsurance.com/ContentServlet.srl?ref=0C4502D4-8E54-411F-8299-C7A2F8BFBBB3
Submission: On May 22 via api from US — Scanned from DE
Submission: On May 22 via api from US — Scanned from DE
Form analysis
2 forms found in the DOM<form novalidate="" class="ng-untouched ng-pristine ng-valid"><pl-form-text-control name="policyNumber">
<div class="form-group"><label class="control-label" for="policy-number-input">Policy number</label>
<div class="control-input-container" id="policy-number-input-container"><pl-form-mask-control class="ng-untouched ng-pristine ng-valid"><input class="form-control ng-untouched ng-pristine ng-valid" id="" placeholder="" name="policyNumber"
type="text" autocomplete="off" aria-label="controlPlaceholder" tabindex="0"><!----><!----><!----></pl-form-mask-control><!----></div><pl-form-control-message><!----><!----></pl-form-control-message>
</div><!----><!---->
</pl-form-text-control><pl-form-text-control name="dob">
<div class="form-group"><label class="control-label" for="dob-input">Date of birth</label>
<div class="control-input-container" id="dob-input-container"><pl-form-mask-control class="ng-untouched ng-pristine ng-valid"><input class="form-control ng-untouched ng-pristine ng-valid" id="" placeholder="MM/DD/YYYY" name="dob" type="tel"
autocomplete="" aria-label="controlPlaceholder" tabindex="0"><!----><!----><pl-datepicker-popover style="display: block;"><button type="button" container="body" containerclass="calendar-popover" class="btn icon-calendar"
aria-label="Datepicker"></button><!----><!----><!----></pl-datepicker-popover><!----></pl-form-mask-control><!----></div><pl-form-control-message><!----><!----></pl-form-control-message>
</div><!----><!---->
</pl-form-text-control><pl-form-text-control name="zipCode">
<div class="form-group"><label class="control-label" for="zip-code-input">ZIP code</label>
<div class="control-input-container" id="zip-code-input-container"><pl-form-mask-control class="ng-untouched ng-pristine ng-valid"><input class="form-control ng-untouched ng-pristine ng-valid" id="" placeholder="" name="zipCode" type="tel"
autocomplete="postal-code" aria-label="controlPlaceholder" tabindex="0"><!----><!----><!----></pl-form-mask-control><!----></div><pl-form-control-message><!----><!----></pl-form-control-message>
</div><!----><!---->
</pl-form-text-control>
<div class="row">
<div class="col-12"><button type="submit" class="btn btn-primary btn-md btn-block btn-quick-pay">Continue to quick pay</button></div>
</div>
</form>
<form novalidate="" class="ng-untouched ng-pristine ng-valid">
<div class="row">
<div class="col-12"><button type="submit" class="btn btn-primary btn-md btn-block btn-login">Continue to login</button></div>
</div>
</form>
Text Content
* Español * Contact us * 800-334-0090 MAKE A PAYMENT QUICK PAY In a hurry? Make a payment without logging into your account by providing the details below. Policy number Date of birth ZIP code Continue to quick pay FULL ACCOUNT ACCESS Log in or create an account to: * Make a payment * Report a claim * Set up auto-pay * Manage bill reminders * Go paperless Continue to login -------------------------------------------------------------------------------- Our mobile app is another way to conveniently manage your Dairyland® policy. ©2024 Dairyland Insurance. All Rights Reserved. * Terms and conditions * Privacy policy * Legal * Contact us * Web accessibility Dairyland® brand property and casualty coverages are underwritten by a member of the Sentry Insurance Group, Stevens Point, WI. For a complete listing of companies, visit DairylandInsurance.com. In Texas, Dairyland® property and casualty coverages are underwritten by Dairyland County Mutual Insurance Company of Texas, Austin, TX. In California, Dairyland® property and casualty coverages are underwritten by Viking Insurance Company of Wisconsin, Stevens Point, WI. Policies, coverages, benefits, and discounts are not available in all states. Savings based upon all available discounts. See your policy for complete coverage details.