www.lileinsurance.com
Open in
urlscan Pro
34.69.219.172
Public Scan
URL:
https://www.lileinsurance.com/
Submission: On September 06 via api from US — Scanned from CA
Submission: On September 06 via api from US — Scanned from CA
Form analysis
4 forms found in the DOM#
<form id="quote-start-qtqwqlp" action="#" class="w-full mt-4 grid gap-6 @2xl:grid-cols-3 @2xl:items-center @2xl:bg-sf-charcoal-100 @2xl:p-6 @2xl:mt-0 @5xl:gap-6 @5xl:p-8 @lg:grid-cols-2 @lg:gap-4"
:class="!['zip', 'loc'].includes(type()) ? '@lg:grid-cols-1 gap-x-0 @lg:gap-y-4 @2xl:gap-x-4' : '@lg:grid-cols-2 @lg:gap-4'">
<div :class="!['zip', 'loc'].includes(type()) ? '@2xl:col-span-2' : ''" class="">
<!-- start partial: shared/components/ui/select-input-label.hbs -->
<label for="gaq-product-qtqwqlp"
class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&_select]:h-full [&_select]:w-full [&_select]:cursor-pointer [&_select]:appearance-none [&_select]:px-3 [&_select]:transition-shadow [&_select]:focus-within:outline-none [&_select]:focus-within:ring [&_select]:focus-within:ring-inset [&_select]:focus-within:ring-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-semi">Select an Insurance Product</span>
<div class="relative flex flex-row items-center w-full h-full">
<select id="gaq-product-qtqwqlp" name="field-auto" @change="selectProduct()" x-model="productKey" aria-controls="specific-location-info-qtqwqlp" :aria-describedby="productSelected ? '' : describeErrorsID()" class="bg-white"
aria-describedby="">
<option value="" selected="" hidden="">Select Product</option>
<template x-for="line in lineOptions">
<option :value="line.key" x-text="line.label" :selected="line.key === productKey"></option>
</template>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="auto">Auto</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="homeowners">Homeowners</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="condo">Condo Owners</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="renters">Renters</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="life">Life</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="hospital">Hospital Income</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="medicare">Medicare Supplement</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="pet">Pet Insurance</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="business">Small Business</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="motorcycle">Motorcycle</option>
</select>
<div class="absolute right-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 0-1.414" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: shared/components/ui/select-input-label.hbs -->
</div>
<template x-if="['zip', 'loc'].includes(type())">
<div id="specific-location-info-qtqwqlp">
<div x-show="type() === 'zip'" x-cloak="">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input id="gaq-zip-qtqwqlp" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
:aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
for="gaq-zip-qtqwqlp"> ZIP Code </label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div>
<div x-show="type() === 'loc'" x-cloak="">
<!-- start partial: shared/components/ui/select-input-label.hbs -->
<label for="gaq-loc-qtqwqlp"
class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&_select]:h-full [&_select]:w-full [&_select]:cursor-pointer [&_select]:appearance-none [&_select]:px-3 [&_select]:transition-shadow [&_select]:focus-within:outline-none [&_select]:focus-within:ring [&_select]:focus-within:ring-inset [&_select]:focus-within:ring-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-semi">State Selection</span>
<div class="relative flex flex-row items-center w-full h-full">
<select id="gaq-loc-qtqwqlp" class="bg-white" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()" :aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()">
<option value="" selected="" hidden="">Your State</option>
<option value="AL" :selected="'AL' === state">Alabama</option>
<option value="AK" :selected="'AK' === state">Alaska</option>
<option value="AZ" :selected="'AZ' === state">Arizona</option>
<option value="AR" :selected="'AR' === state">Arkansas</option>
<option value="CA" :selected="'CA' === state">California</option>
<option value="CO" :selected="'CO' === state">Colorado</option>
<option value="CT" :selected="'CT' === state">Connecticut</option>
<option value="DE" :selected="'DE' === state">Delaware</option>
<option value="FL" :selected="'FL' === state">Florida</option>
<option value="GA" :selected="'GA' === state">Georgia</option>
<option value="HI" :selected="'HI' === state">Hawaii</option>
<option value="ID" :selected="'ID' === state">Idaho</option>
<option value="IL" :selected="'IL' === state">Illinois</option>
<option value="IN" :selected="'IN' === state">Indiana</option>
<option value="IA" :selected="'IA' === state">Iowa</option>
<option value="KS" :selected="'KS' === state">Kansas</option>
<option value="KY" :selected="'KY' === state">Kentucky</option>
<option value="LA" :selected="'LA' === state">Louisiana</option>
<option value="ME" :selected="'ME' === state">Maine</option>
<option value="MD" :selected="'MD' === state">Maryland</option>
<option value="MA" :selected="'MA' === state">Massachusetts</option>
<option value="MI" :selected="'MI' === state">Michigan</option>
<option value="MN" :selected="'MN' === state">Minnesota</option>
<option value="MS" :selected="'MS' === state">Mississippi</option>
<option value="MO" :selected="'MO' === state">Missouri</option>
<option value="MT" :selected="'MT' === state">Montana</option>
<option value="NE" :selected="'NE' === state">Nebraska</option>
<option value="NV" :selected="'NV' === state">Nevada</option>
<option value="NH" :selected="'NH' === state">New Hampshire</option>
<option value="NJ" :selected="'NJ' === state">New Jersey</option>
<option value="NM" :selected="'NM' === state">New Mexico</option>
<option value="NY" :selected="'NY' === state">New York</option>
<option value="NC" :selected="'NC' === state">North Carolina</option>
<option value="ND" :selected="'ND' === state">North Dakota</option>
<option value="OH" :selected="'OH' === state">Ohio</option>
<option value="OK" :selected="'OK' === state">Oklahoma</option>
<option value="OR" :selected="'OR' === state">Oregon</option>
<option value="PA" :selected="'PA' === state">Pennsylvania</option>
<option value="RI" :selected="'RI' === state">Rhode Island</option>
<option value="SC" :selected="'SC' === state">South Carolina</option>
<option value="SD" :selected="'SD' === state">South Dakota</option>
<option value="TN" :selected="'TN' === state">Tennessee</option>
<option value="TX" :selected="'TX' === state">Texas</option>
<option value="UT" :selected="'UT' === state">Utah</option>
<option value="VT" :selected="'VT' === state">Vermont</option>
<option value="VA" :selected="'VA' === state">Virginia</option>
<option value="WA" :selected="'WA' === state">Washington</option>
<option value="DC" :selected="'DC' === state">Washington, D.C.</option>
<option value="WV" :selected="'WV' === state">West Virginia</option>
<option value="WI" :selected="'WI' === state">Wisconsin</option>
<option value="WY" :selected="'WY' === state">Wyoming</option>
</select>
<div class="absolute right-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 0-1.414" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: shared/components/ui/select-input-label.hbs -->
</div>
</div>
</template>
<div id="specific-location-info-qtqwqlp">
<div x-show="type() === 'zip'">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input id="gaq-zip-qtqwqlp" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
:aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
for="gaq-zip-qtqwqlp"> ZIP Code </label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div>
<div x-show="type() === 'loc'" style="display: none;">
<!-- start partial: shared/components/ui/select-input-label.hbs -->
<label for="gaq-loc-qtqwqlp"
class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&_select]:h-full [&_select]:w-full [&_select]:cursor-pointer [&_select]:appearance-none [&_select]:px-3 [&_select]:transition-shadow [&_select]:focus-within:outline-none [&_select]:focus-within:ring [&_select]:focus-within:ring-inset [&_select]:focus-within:ring-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-semi">State Selection</span>
<div class="relative flex flex-row items-center w-full h-full">
<select id="gaq-loc-qtqwqlp" class="bg-white" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()" :aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()"
aria-describedby="">
<option value="" selected="" hidden="">Your State</option>
<option value="AL" :selected="'AL' === state">Alabama</option>
<option value="AK" :selected="'AK' === state">Alaska</option>
<option value="AZ" :selected="'AZ' === state">Arizona</option>
<option value="AR" :selected="'AR' === state">Arkansas</option>
<option value="CA" :selected="'CA' === state">California</option>
<option value="CO" :selected="'CO' === state">Colorado</option>
<option value="CT" :selected="'CT' === state">Connecticut</option>
<option value="DE" :selected="'DE' === state">Delaware</option>
<option value="FL" :selected="'FL' === state">Florida</option>
<option value="GA" :selected="'GA' === state">Georgia</option>
<option value="HI" :selected="'HI' === state">Hawaii</option>
<option value="ID" :selected="'ID' === state">Idaho</option>
<option value="IL" :selected="'IL' === state">Illinois</option>
<option value="IN" :selected="'IN' === state">Indiana</option>
<option value="IA" :selected="'IA' === state">Iowa</option>
<option value="KS" :selected="'KS' === state">Kansas</option>
<option value="KY" :selected="'KY' === state">Kentucky</option>
<option value="LA" :selected="'LA' === state">Louisiana</option>
<option value="ME" :selected="'ME' === state">Maine</option>
<option value="MD" :selected="'MD' === state">Maryland</option>
<option value="MA" :selected="'MA' === state">Massachusetts</option>
<option value="MI" :selected="'MI' === state">Michigan</option>
<option value="MN" :selected="'MN' === state">Minnesota</option>
<option value="MS" :selected="'MS' === state">Mississippi</option>
<option value="MO" :selected="'MO' === state">Missouri</option>
<option value="MT" :selected="'MT' === state">Montana</option>
<option value="NE" :selected="'NE' === state">Nebraska</option>
<option value="NV" :selected="'NV' === state">Nevada</option>
<option value="NH" :selected="'NH' === state">New Hampshire</option>
<option value="NJ" :selected="'NJ' === state">New Jersey</option>
<option value="NM" :selected="'NM' === state">New Mexico</option>
<option value="NY" :selected="'NY' === state">New York</option>
<option value="NC" :selected="'NC' === state">North Carolina</option>
<option value="ND" :selected="'ND' === state">North Dakota</option>
<option value="OH" :selected="'OH' === state">Ohio</option>
<option value="OK" :selected="'OK' === state">Oklahoma</option>
<option value="OR" :selected="'OR' === state">Oregon</option>
<option value="PA" :selected="'PA' === state">Pennsylvania</option>
<option value="RI" :selected="'RI' === state">Rhode Island</option>
<option value="SC" :selected="'SC' === state">South Carolina</option>
<option value="SD" :selected="'SD' === state">South Dakota</option>
<option value="TN" :selected="'TN' === state">Tennessee</option>
<option value="TX" :selected="'TX' === state">Texas</option>
<option value="UT" :selected="'UT' === state">Utah</option>
<option value="VT" :selected="'VT' === state">Vermont</option>
<option value="VA" :selected="'VA' === state">Virginia</option>
<option value="WA" :selected="'WA' === state">Washington</option>
<option value="DC" :selected="'DC' === state">Washington, D.C.</option>
<option value="WV" :selected="'WV' === state">West Virginia</option>
<option value="WI" :selected="'WI' === state">Wisconsin</option>
<option value="WY" :selected="'WY' === state">Wyoming</option>
</select>
<div class="absolute right-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 0-1.414" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: shared/components/ui/select-input-label.hbs -->
</div>
</div>
<div class="w-full @lg:col-span-2 @2xl:col-span-1">
<button @click.stop.prevent="validate()" type="button" :disabled="submitting" class="btn btn-primary">
<span x-show="!['business', 'motorcycle'].includes(productKey)">Start a Quote</span>
<span x-show="['business', 'motorcycle'].includes(productKey)" style="display: none;">Request a Quote</span>
</button>
</div>
<template x-if="errors.length > 0">
<div role="alert" aria-atomic="true" :id="ariaDescribedByErrorsID">
<template x-for="error in errors">
<h3 class="p-3 border-2 font-med text-sf-red-700 bg-sf-red-100 border-sf-red-700 rounded-2xl" x-html="error"></h3>
</template>
</div>
</template>
</form>
#
<form id="quote-start-6m1gl42" action="#" class="w-full mt-4 grid gap-6 @2xl:grid-cols-3 @2xl:items-center @2xl:bg-sf-charcoal-100 @2xl:p-6 @2xl:mt-0 @5xl:gap-6 @5xl:p-8 @lg:grid-cols-2 @lg:gap-4"
:class="!['zip', 'loc'].includes(type()) ? '@lg:grid-cols-1 gap-x-0 @lg:gap-y-4 @2xl:gap-x-4' : '@lg:grid-cols-2 @lg:gap-4'">
<div :class="!['zip', 'loc'].includes(type()) ? '@2xl:col-span-2' : ''" class="">
<!-- start partial: shared/components/ui/select-input-label.hbs -->
<label for="gaq-product-6m1gl42"
class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&_select]:h-full [&_select]:w-full [&_select]:cursor-pointer [&_select]:appearance-none [&_select]:px-3 [&_select]:transition-shadow [&_select]:focus-within:outline-none [&_select]:focus-within:ring [&_select]:focus-within:ring-inset [&_select]:focus-within:ring-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-semi">Select an Insurance Product</span>
<div class="relative flex flex-row items-center w-full h-full">
<select id="gaq-product-6m1gl42" name="field-auto" @change="selectProduct()" x-model="productKey" aria-controls="specific-location-info-6m1gl42" :aria-describedby="productSelected ? '' : describeErrorsID()" class="bg-white"
aria-describedby="">
<option value="" selected="" hidden="">Select Product</option>
<template x-for="line in lineOptions">
<option :value="line.key" x-text="line.label" :selected="line.key === productKey"></option>
</template>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="auto">Auto</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="homeowners">Homeowners</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="condo">Condo Owners</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="renters">Renters</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="life">Life</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="hospital">Hospital Income</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="medicare">Medicare Supplement</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="pet">Pet Insurance</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="business">Small Business</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="motorcycle">Motorcycle</option>
</select>
<div class="absolute right-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 0-1.414" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: shared/components/ui/select-input-label.hbs -->
</div>
<template x-if="['zip', 'loc'].includes(type())">
<div id="specific-location-info-6m1gl42">
<div x-show="type() === 'zip'" x-cloak="">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input id="gaq-zip-6m1gl42" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
:aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
for="gaq-zip-6m1gl42"> ZIP Code </label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div>
<div x-show="type() === 'loc'" x-cloak="">
<!-- start partial: shared/components/ui/select-input-label.hbs -->
<label for="gaq-loc-6m1gl42"
class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&_select]:h-full [&_select]:w-full [&_select]:cursor-pointer [&_select]:appearance-none [&_select]:px-3 [&_select]:transition-shadow [&_select]:focus-within:outline-none [&_select]:focus-within:ring [&_select]:focus-within:ring-inset [&_select]:focus-within:ring-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-semi">State Selection</span>
<div class="relative flex flex-row items-center w-full h-full">
<select id="gaq-loc-6m1gl42" class="bg-white" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()" :aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()">
<option value="" selected="" hidden="">Your State</option>
<option value="AL" :selected="'AL' === state">Alabama</option>
<option value="AK" :selected="'AK' === state">Alaska</option>
<option value="AZ" :selected="'AZ' === state">Arizona</option>
<option value="AR" :selected="'AR' === state">Arkansas</option>
<option value="CA" :selected="'CA' === state">California</option>
<option value="CO" :selected="'CO' === state">Colorado</option>
<option value="CT" :selected="'CT' === state">Connecticut</option>
<option value="DE" :selected="'DE' === state">Delaware</option>
<option value="FL" :selected="'FL' === state">Florida</option>
<option value="GA" :selected="'GA' === state">Georgia</option>
<option value="HI" :selected="'HI' === state">Hawaii</option>
<option value="ID" :selected="'ID' === state">Idaho</option>
<option value="IL" :selected="'IL' === state">Illinois</option>
<option value="IN" :selected="'IN' === state">Indiana</option>
<option value="IA" :selected="'IA' === state">Iowa</option>
<option value="KS" :selected="'KS' === state">Kansas</option>
<option value="KY" :selected="'KY' === state">Kentucky</option>
<option value="LA" :selected="'LA' === state">Louisiana</option>
<option value="ME" :selected="'ME' === state">Maine</option>
<option value="MD" :selected="'MD' === state">Maryland</option>
<option value="MA" :selected="'MA' === state">Massachusetts</option>
<option value="MI" :selected="'MI' === state">Michigan</option>
<option value="MN" :selected="'MN' === state">Minnesota</option>
<option value="MS" :selected="'MS' === state">Mississippi</option>
<option value="MO" :selected="'MO' === state">Missouri</option>
<option value="MT" :selected="'MT' === state">Montana</option>
<option value="NE" :selected="'NE' === state">Nebraska</option>
<option value="NV" :selected="'NV' === state">Nevada</option>
<option value="NH" :selected="'NH' === state">New Hampshire</option>
<option value="NJ" :selected="'NJ' === state">New Jersey</option>
<option value="NM" :selected="'NM' === state">New Mexico</option>
<option value="NY" :selected="'NY' === state">New York</option>
<option value="NC" :selected="'NC' === state">North Carolina</option>
<option value="ND" :selected="'ND' === state">North Dakota</option>
<option value="OH" :selected="'OH' === state">Ohio</option>
<option value="OK" :selected="'OK' === state">Oklahoma</option>
<option value="OR" :selected="'OR' === state">Oregon</option>
<option value="PA" :selected="'PA' === state">Pennsylvania</option>
<option value="RI" :selected="'RI' === state">Rhode Island</option>
<option value="SC" :selected="'SC' === state">South Carolina</option>
<option value="SD" :selected="'SD' === state">South Dakota</option>
<option value="TN" :selected="'TN' === state">Tennessee</option>
<option value="TX" :selected="'TX' === state">Texas</option>
<option value="UT" :selected="'UT' === state">Utah</option>
<option value="VT" :selected="'VT' === state">Vermont</option>
<option value="VA" :selected="'VA' === state">Virginia</option>
<option value="WA" :selected="'WA' === state">Washington</option>
<option value="DC" :selected="'DC' === state">Washington, D.C.</option>
<option value="WV" :selected="'WV' === state">West Virginia</option>
<option value="WI" :selected="'WI' === state">Wisconsin</option>
<option value="WY" :selected="'WY' === state">Wyoming</option>
</select>
<div class="absolute right-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 0-1.414" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: shared/components/ui/select-input-label.hbs -->
</div>
</div>
</template>
<div id="specific-location-info-6m1gl42">
<div x-show="type() === 'zip'">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input id="gaq-zip-6m1gl42" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
:aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
for="gaq-zip-6m1gl42"> ZIP Code </label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div>
<div x-show="type() === 'loc'" style="display: none;">
<!-- start partial: shared/components/ui/select-input-label.hbs -->
<label for="gaq-loc-6m1gl42"
class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&_select]:h-full [&_select]:w-full [&_select]:cursor-pointer [&_select]:appearance-none [&_select]:px-3 [&_select]:transition-shadow [&_select]:focus-within:outline-none [&_select]:focus-within:ring [&_select]:focus-within:ring-inset [&_select]:focus-within:ring-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-semi">State Selection</span>
<div class="relative flex flex-row items-center w-full h-full">
<select id="gaq-loc-6m1gl42" class="bg-white" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()" :aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()"
aria-describedby="">
<option value="" selected="" hidden="">Your State</option>
<option value="AL" :selected="'AL' === state">Alabama</option>
<option value="AK" :selected="'AK' === state">Alaska</option>
<option value="AZ" :selected="'AZ' === state">Arizona</option>
<option value="AR" :selected="'AR' === state">Arkansas</option>
<option value="CA" :selected="'CA' === state">California</option>
<option value="CO" :selected="'CO' === state">Colorado</option>
<option value="CT" :selected="'CT' === state">Connecticut</option>
<option value="DE" :selected="'DE' === state">Delaware</option>
<option value="FL" :selected="'FL' === state">Florida</option>
<option value="GA" :selected="'GA' === state">Georgia</option>
<option value="HI" :selected="'HI' === state">Hawaii</option>
<option value="ID" :selected="'ID' === state">Idaho</option>
<option value="IL" :selected="'IL' === state">Illinois</option>
<option value="IN" :selected="'IN' === state">Indiana</option>
<option value="IA" :selected="'IA' === state">Iowa</option>
<option value="KS" :selected="'KS' === state">Kansas</option>
<option value="KY" :selected="'KY' === state">Kentucky</option>
<option value="LA" :selected="'LA' === state">Louisiana</option>
<option value="ME" :selected="'ME' === state">Maine</option>
<option value="MD" :selected="'MD' === state">Maryland</option>
<option value="MA" :selected="'MA' === state">Massachusetts</option>
<option value="MI" :selected="'MI' === state">Michigan</option>
<option value="MN" :selected="'MN' === state">Minnesota</option>
<option value="MS" :selected="'MS' === state">Mississippi</option>
<option value="MO" :selected="'MO' === state">Missouri</option>
<option value="MT" :selected="'MT' === state">Montana</option>
<option value="NE" :selected="'NE' === state">Nebraska</option>
<option value="NV" :selected="'NV' === state">Nevada</option>
<option value="NH" :selected="'NH' === state">New Hampshire</option>
<option value="NJ" :selected="'NJ' === state">New Jersey</option>
<option value="NM" :selected="'NM' === state">New Mexico</option>
<option value="NY" :selected="'NY' === state">New York</option>
<option value="NC" :selected="'NC' === state">North Carolina</option>
<option value="ND" :selected="'ND' === state">North Dakota</option>
<option value="OH" :selected="'OH' === state">Ohio</option>
<option value="OK" :selected="'OK' === state">Oklahoma</option>
<option value="OR" :selected="'OR' === state">Oregon</option>
<option value="PA" :selected="'PA' === state">Pennsylvania</option>
<option value="RI" :selected="'RI' === state">Rhode Island</option>
<option value="SC" :selected="'SC' === state">South Carolina</option>
<option value="SD" :selected="'SD' === state">South Dakota</option>
<option value="TN" :selected="'TN' === state">Tennessee</option>
<option value="TX" :selected="'TX' === state">Texas</option>
<option value="UT" :selected="'UT' === state">Utah</option>
<option value="VT" :selected="'VT' === state">Vermont</option>
<option value="VA" :selected="'VA' === state">Virginia</option>
<option value="WA" :selected="'WA' === state">Washington</option>
<option value="DC" :selected="'DC' === state">Washington, D.C.</option>
<option value="WV" :selected="'WV' === state">West Virginia</option>
<option value="WI" :selected="'WI' === state">Wisconsin</option>
<option value="WY" :selected="'WY' === state">Wyoming</option>
</select>
<div class="absolute right-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 0-1.414" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: shared/components/ui/select-input-label.hbs -->
</div>
</div>
<div class="w-full @lg:col-span-2 @2xl:col-span-1">
<button @click.stop.prevent="validate()" type="button" :disabled="submitting" class="btn btn-primary">
<span x-show="!['business', 'motorcycle'].includes(productKey)">Start a Quote</span>
<span x-show="['business', 'motorcycle'].includes(productKey)" style="display: none;">Request a Quote</span>
</button>
</div>
<template x-if="errors.length > 0">
<div role="alert" aria-atomic="true" :id="ariaDescribedByErrorsID">
<template x-for="error in errors">
<h3 class="p-3 border-2 font-med text-sf-red-700 bg-sf-red-100 border-sf-red-700 rounded-2xl" x-html="error"></h3>
</template>
</div>
</template>
</form>
POST
<form x-show="!sendResponse && !sending" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers">
<h2 x-show="true" class="hidden text-2xl font-med md:block"> You can also call us at <a :id="$id('phone-link-contact-form')" aria-label="You can also call us at (918) 742-6888" href="tel:9187426888" class="red-link">
(918) 742-6888
</a>
</h2>
<!-- start partial: shared/components/contact-forms/cf-more-prefs.hbs -->
<div class="absolute -left-[9999px]">
<div x-id="['preferred__url']">
<label :for="$id('preferred__url')">preferred__url</label>
<input :id="$id('preferred__url')" type="url" name="preferred__url" tabindex="-1" x-model="form.preferred__url" autocomplete="off">
</div>
<div x-id="['preferred__topic']">
<label :for="$id('preferred__topic')">preferred__topic</label>
<input :id="$id('preferred__topic')" type="text" name="preferred__topic" tabindex="-1" x-model="form.preferred__topic" autocomplete="off">
</div>
<div x-id="['preferred__extra']">
<label :for="$id('preferred__extra')">preferred__extra</label>
<input :id="$id('preferred__extra')" type="checkbox" name="preferred__extra" tabindex="-1" x-model="form.preferred__extra" autocomplete="off">
</div>
</div><!-- end partial: shared/components/contact-forms/cf-more-prefs.hbs -->
<h2 class="text-2xl text-center mb-4 font-med md:hidden"> Contact Us </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">
<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: shared/components/contact-forms/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: shared/components/contact-forms/cf-prefs.hbs -->
</div>
<div class="xl:mt-6">
<!-- start partial: shared/components/contact-forms/cf-contact-info.hbs -->
<div class="flex flex-col w-full space-y-5" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
<!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input :id="$id('contact-form-name')" class="m2-form-input peer " 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') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-name')"> Your Name<span aria-hidden="true" x-show="hasError('name')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
<!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input :id="$id('contact-form-phone')" class="m2-form-input peer " name="contact-form-phone" x-model="form.phone" :aria-required="hasError('phone') && form.pref == 'phone'" autocomplete="tel" type="text"
placeholder="Your Phone" :aria-invalid="hasError('phone')" :aria-describedby="hasError('phone') ? $id('error', 'phone') : null" :error="hasError('phone')" @keydown.debounce.750ms="validatePhone()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-phone')"> Your Phone<span aria-hidden="true" x-show="hasError('phone')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
<!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input :id="$id('contact-form-email')" class="m2-form-input peer " name="contact-form-email" x-model="form.email" :aria-required="hasError('email') && form.pref == 'email'" autocomplete="email" type="text"
placeholder="Your Email" :aria-invalid="hasError('email')" :aria-describedby="hasError('email') ? $id('error', 'email') : null" :error="hasError('email')" @keydown.debounce.750ms="validateEmail()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-email')"> Your Email<span aria-hidden="true" x-show="hasError('email')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
<!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
</div><!-- end partial: shared/components/contact-forms/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: shared/components/contact-forms/cf-message.hbs -->
<div class="relative h-full" x-id="[
'md-contact-form-message'
]">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full h-full" :class="{}">
<textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 xl:h-full pa11y-ignore" placeholder="Your Message:" :maxlength="MAX_MESSAGE_LENGTH" :aria-invalid="hasError('message')"
:aria-describedby="`char-limit, md-message-warning ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')"
@keydown.debounce.750ms="validateMessage(), validateMessageLength()" @keydown.debounce.5ms="displayMessageLength()" :error="hasError('message')"></textarea>
<p id="char-limit" class="flex justify-end" aria-live="polite" x-text="`${remainingCharacters}`"></p>
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('md-contact-form-message')"> Your Message:<span aria-hidden="true" x-show="hasError('message')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div><!-- end partial: shared/components/contact-forms/cf-message.hbs -->
</div>
<div class="mt-4">
<!-- start partial: shared/components/contact-forms/cf-message-warning.hbs -->
<p class="text-xs" id="md-message-warning"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: shared/components/contact-forms/cf-message-warning.hbs -->
</div>
</div>
</div>
</div>
<div class="flex flex-col w-full md:w-1/2 lg:w-1/3 xl:justify-between xl:pl-8">
<div class="mt-6 xl:hidden md:m-0">
<!-- start partial: shared/components/contact-forms/cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$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="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset><!-- end partial: shared/components/contact-forms/cf-prefs.hbs -->
</div>
<div class="flex w-full mt-4 xl:h-full">
<!-- start partial: shared/components/contact-forms/cf-more-info.hbs -->
<fieldset class="flex w-full flex-col" x-id="['contact-form-checkbox-input']">
<legend class="mb-2 text-sm uppercase"> I'd like more info about: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</legend>
<div class="grid sm:grid-flow-col sm:grid-cols-2 sm:grid-rows-3 md:grid-cols-1 md:grid-rows-6 xl:h-full">
<template x-for="(i, k) in moreVals" :key="i.id">
<div :id="$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: shared/components/contact-forms/cf-more-info.hbs -->
</div>
<div class="mt-4 text-xs md:hidden">
<!-- start partial: shared/components/contact-forms/cf-message-warning.hbs -->
<p class="text-xs" 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: shared/components/contact-forms/cf-message-warning.hbs -->
</div>
<div class="mt-5 md:hidden">
<!-- start partial: shared/components/contact-forms/cf-message.hbs -->
<div class="relative h-full" x-id="[
'contact-form-message'
]">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full h-full" :class="{}">
<textarea :id="$id('contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 pa11y-ignore" placeholder="Your Message:" :maxlength="MAX_MESSAGE_LENGTH" :aria-invalid="hasError('message')"
:aria-describedby="`char-limit, message-warning ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')"
@keydown.debounce.750ms="validateMessage(), validateMessageLength()" @keydown.debounce.5ms="displayMessageLength()" :error="hasError('message')"></textarea>
<p id="char-limit" class="flex justify-end" aria-live="polite" x-text="`${remainingCharacters}`"></p>
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-message')"> Your Message:<span aria-hidden="true" x-show="hasError('message')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div><!-- end partial: shared/components/contact-forms/cf-message.hbs -->
</div>
</div>
</div>
<div class="flex flex-col w-full mt-4 pt-3 md:flex-row xl:justify-end">
<div class="md:w-1/2 xl:w-1/3">
<!-- start partial: shared/components/contact-forms/cf-file-input.hbs -->
<div x-ref="contactFormAttachments" class="w-full" x-data="initFileInput()">
<div x-show="$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 my-2 grid w-full grid-cols-4 flex-nowrap bg-sf-charcoal-100 p-4">
<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), "h-full")" 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 ${att.name}`" @click.prevent="removeFile(idx)" class="absolute top-0 p-2 right-1">
<span class="red-link whitespace-nowrap">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 12 14" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet"><path d="M8.57 8.43 7.429 9.571a.25.25 0 0 1-.359 0L6 8.501l-1.07 1.07a.25.25 0 0 1-.359 0L3.43 8.43a.25.25 0 0 1 0-.359l1.07-1.07-1.07-1.07a.25.25 0 0 1 0-.359l1.141-1.141a.25.25 0 0 1 .359 0L6 5.501l1.07-1.07a.25.25 0 0 1 .359 0L8.57 5.572a.25.25 0 0 1 0 .359L7.5 7.001l1.07 1.07a.25.25 0 0 1 0 .359M10.25 7c0-2.344-1.906-4.25-4.25-4.25S1.75 4.656 1.75 7 3.656 11.25 6 11.25 10.25 9.344 10.25 7M12 7A6 6 0 0 1 0 7a6 6 0 0 1 12 0"></path></svg></div>
Remove
</span>
</a>
</div>
</template>
<div x-id="['m2-file-upload-input']">
<label :for="$id("m2-file-upload-input")">
<span role="button" class="text-lg btn btn-secondary" :aria-controls="$id("m2-file-upload-input")" tabindex="0" @keydown.enter="$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("m2-file-upload-input")" name="m2-cf-attachments" multiple="" :aria-disabled="tooManyBytes" :accept="acceptableFileTypes" @change="pickFiles($event.target.files)">
<div class="mt-2 text-xs"> Please attach only <span x-text="readableExtensionList()"></span> file(s) — Unsupported file types will not be delivered to the agent. </div>
</div>
</div><!-- end partial: shared/components/contact-forms/cf-file-input.hbs -->
</div>
<div class="w-full mt-4 md:w-1/2 md:m-0 md:pl-8 xl:w-1/3">
<!-- start partial: shared/components/contact-forms/cf-submit.hbs -->
<button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button><!-- end partial: shared/components/contact-forms/cf-submit.hbs -->
</div>
</div>
<!-- start partial: shared/components/contact-forms/cf-errors.hbs -->
<div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700">
<!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
<!-- "Please forgive this" -->
<h3 class="font-semi mb-2 text-xl"> Please correct the following: </h3>
<ul class="list-inside list-disc">
<template x-for="(message, key) in errors" :key="$id('error', key)">
<li class="mb-1" :id="$id('error', key)" x-html="message"></li>
</template>
</ul>
</div><!-- end partial: shared/components/contact-forms/cf-errors.hbs -->
<div id="disclaimers">
<div class="mt-4">
<!-- start partial: shared/components/contact-forms/cf-disclaimer.hbs -->
<p :id="$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: shared/components/contact-forms/cf-disclaimer.hbs -->
</div>
<p class="mt-2" x-show="!false">
<!-- start partial: shared/components/contact-forms/cf-coverage-disclaimer.hbs -->
</p>
<p class="text-xs leading-3">
<span class="font-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
<span><a href="tel:8557337333" class="red-link" aria-label="Contact the State Farm toll-free customer service line at (855) 733-7333">(855) 733-7333</a>.</span>
</p><!-- end partial: shared/components/contact-forms/cf-coverage-disclaimer.hbs -->
<p></p>
</div>
</form>
POST
<form x-show="!sendResponse && !sending" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers">
<h2 x-show="true" class="hidden text-2xl font-med md:block"> You can also call us at <a :id="$id('phone-link-contact-form')" aria-label="You can also call us at (918) 742-6888" href="tel:9187426888" class="red-link">
(918) 742-6888
</a>
</h2>
<!-- start partial: shared/components/contact-forms/cf-more-prefs.hbs -->
<div class="absolute -left-[9999px]">
<div x-id="['preferred__url']">
<label :for="$id('preferred__url')">preferred__url</label>
<input :id="$id('preferred__url')" type="url" name="preferred__url" tabindex="-1" x-model="form.preferred__url" autocomplete="off">
</div>
<div x-id="['preferred__topic']">
<label :for="$id('preferred__topic')">preferred__topic</label>
<input :id="$id('preferred__topic')" type="text" name="preferred__topic" tabindex="-1" x-model="form.preferred__topic" autocomplete="off">
</div>
<div x-id="['preferred__extra']">
<label :for="$id('preferred__extra')">preferred__extra</label>
<input :id="$id('preferred__extra')" type="checkbox" name="preferred__extra" tabindex="-1" x-model="form.preferred__extra" autocomplete="off">
</div>
</div><!-- end partial: shared/components/contact-forms/cf-more-prefs.hbs -->
<h2 class="text-2xl text-center mb-4 font-med md:hidden"> Contact Us </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">
<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: shared/components/contact-forms/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: shared/components/contact-forms/cf-prefs.hbs -->
</div>
<div class="xl:mt-6">
<!-- start partial: shared/components/contact-forms/cf-contact-info.hbs -->
<div class="flex flex-col w-full space-y-5" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
<!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input :id="$id('contact-form-name')" class="m2-form-input peer " 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') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-name')"> Your Name<span aria-hidden="true" x-show="hasError('name')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
<!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input :id="$id('contact-form-phone')" class="m2-form-input peer " name="contact-form-phone" x-model="form.phone" :aria-required="hasError('phone') && form.pref == 'phone'" autocomplete="tel" type="text"
placeholder="Your Phone" :aria-invalid="hasError('phone')" :aria-describedby="hasError('phone') ? $id('error', 'phone') : null" :error="hasError('phone')" @keydown.debounce.750ms="validatePhone()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-phone')"> Your Phone<span aria-hidden="true" x-show="hasError('phone')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
<!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input :id="$id('contact-form-email')" class="m2-form-input peer " name="contact-form-email" x-model="form.email" :aria-required="hasError('email') && form.pref == 'email'" autocomplete="email" type="text"
placeholder="Your Email" :aria-invalid="hasError('email')" :aria-describedby="hasError('email') ? $id('error', 'email') : null" :error="hasError('email')" @keydown.debounce.750ms="validateEmail()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-email')"> Your Email<span aria-hidden="true" x-show="hasError('email')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
<!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
</div><!-- end partial: shared/components/contact-forms/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: shared/components/contact-forms/cf-message.hbs -->
<div class="relative h-full" x-id="[
'md-contact-form-message'
]">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full h-full" :class="{}">
<textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 xl:h-full pa11y-ignore" placeholder="Your Message:" :maxlength="MAX_MESSAGE_LENGTH" :aria-invalid="hasError('message')"
:aria-describedby="`char-limit, md-message-warning ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')"
@keydown.debounce.750ms="validateMessage(), validateMessageLength()" @keydown.debounce.5ms="displayMessageLength()" :error="hasError('message')"></textarea>
<p id="char-limit" class="flex justify-end" aria-live="polite" x-text="`${remainingCharacters}`"></p>
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('md-contact-form-message')"> Your Message:<span aria-hidden="true" x-show="hasError('message')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div><!-- end partial: shared/components/contact-forms/cf-message.hbs -->
</div>
<div class="mt-4">
<!-- start partial: shared/components/contact-forms/cf-message-warning.hbs -->
<p class="text-xs" id="md-message-warning"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: shared/components/contact-forms/cf-message-warning.hbs -->
</div>
</div>
</div>
</div>
<div class="flex flex-col w-full md:w-1/2 lg:w-1/3 xl:justify-between xl:pl-8">
<div class="mt-6 xl:hidden md:m-0">
<!-- start partial: shared/components/contact-forms/cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$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="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset><!-- end partial: shared/components/contact-forms/cf-prefs.hbs -->
</div>
<div class="flex w-full mt-4 xl:h-full">
<!-- start partial: shared/components/contact-forms/cf-more-info.hbs -->
<fieldset class="flex w-full flex-col" x-id="['contact-form-checkbox-input']">
<legend class="mb-2 text-sm uppercase"> I'd like more info about: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</legend>
<div class="grid sm:grid-flow-col sm:grid-cols-2 sm:grid-rows-3 md:grid-cols-1 md:grid-rows-6 xl:h-full">
<template x-for="(i, k) in moreVals" :key="i.id">
<div :id="$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: shared/components/contact-forms/cf-more-info.hbs -->
</div>
<div class="mt-4 text-xs md:hidden">
<!-- start partial: shared/components/contact-forms/cf-message-warning.hbs -->
<p class="text-xs" 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: shared/components/contact-forms/cf-message-warning.hbs -->
</div>
<div class="mt-5 md:hidden">
<!-- start partial: shared/components/contact-forms/cf-message.hbs -->
<div class="relative h-full" x-id="[
'contact-form-message'
]">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full h-full" :class="{}">
<textarea :id="$id('contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 pa11y-ignore" placeholder="Your Message:" :maxlength="MAX_MESSAGE_LENGTH" :aria-invalid="hasError('message')"
:aria-describedby="`char-limit, message-warning ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')"
@keydown.debounce.750ms="validateMessage(), validateMessageLength()" @keydown.debounce.5ms="displayMessageLength()" :error="hasError('message')"></textarea>
<p id="char-limit" class="flex justify-end" aria-live="polite" x-text="`${remainingCharacters}`"></p>
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-message')"> Your Message:<span aria-hidden="true" x-show="hasError('message')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div><!-- end partial: shared/components/contact-forms/cf-message.hbs -->
</div>
</div>
</div>
<div class="flex flex-col w-full mt-4 pt-3 md:flex-row xl:justify-end">
<div class="md:w-1/2 xl:w-1/3">
<!-- start partial: shared/components/contact-forms/cf-file-input.hbs -->
<div x-ref="contactFormAttachments" class="w-full" x-data="initFileInput()">
<div x-show="$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 my-2 grid w-full grid-cols-4 flex-nowrap bg-sf-charcoal-100 p-4">
<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), "h-full")" 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 ${att.name}`" @click.prevent="removeFile(idx)" class="absolute top-0 p-2 right-1">
<span class="red-link whitespace-nowrap">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 12 14" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet"><path d="M8.57 8.43 7.429 9.571a.25.25 0 0 1-.359 0L6 8.501l-1.07 1.07a.25.25 0 0 1-.359 0L3.43 8.43a.25.25 0 0 1 0-.359l1.07-1.07-1.07-1.07a.25.25 0 0 1 0-.359l1.141-1.141a.25.25 0 0 1 .359 0L6 5.501l1.07-1.07a.25.25 0 0 1 .359 0L8.57 5.572a.25.25 0 0 1 0 .359L7.5 7.001l1.07 1.07a.25.25 0 0 1 0 .359M10.25 7c0-2.344-1.906-4.25-4.25-4.25S1.75 4.656 1.75 7 3.656 11.25 6 11.25 10.25 9.344 10.25 7M12 7A6 6 0 0 1 0 7a6 6 0 0 1 12 0"></path></svg></div>
Remove
</span>
</a>
</div>
</template>
<div x-id="['m2-file-upload-input']">
<label :for="$id("m2-file-upload-input")">
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<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
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<span class="font-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
<span><a href="tel:8557337333" class="red-link" aria-label="Contact the State Farm toll-free customer service line at (855) 733-7333">(855) 733-7333</a>.</span>
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Skip to content * Account * Create an account * Log in * Contact Us * Jobs * Reviews * Insurance * Auto * Motorcycle * Homeowners * Condo * Renters * Business * Life * Rec Vehicles * Boat * Close Navigation Menu * Insurance * Auto * Motorcycle * Homeowners * Condo * Renters * Business * Life * Rec Vehicles * Boat * EXIT SUBMENU * Auto * Motorcycle * Homeowners * Condo * Renters * Business * Life * Rec Vehicles * Boat * EXIT SUBMENU * Reviews * Jobs * Contact Us * Account * Create an account * Log in * EXIT SUBMENU * Create an account * Log in * EXIT SUBMENU Call Text (918) 742-6888 OFFICE HOURS Today 9am - 4pm (Central) Mon-Thu 9am - 5pm Fri 9am - 4pm Sat-Sun Closed Call or text us 24 hours a day! * * * INSURANCE PRODUCTS OFFERED Auto, Homeowners, Condo, Renters, Personal Articles, Business, Life, Health OTHER PRODUCTS Banking, Mutual Funds, Annuities FINRA’s BrokerCheck View Licenses WOULD YOU LIKE TO CREATE A PERSONALIZED QUOTE? Select an Insurance Product Select Product AutoHomeownersCondo OwnersRentersLifeHospital IncomeMedicare SupplementPet InsuranceSmall BusinessMotorcycle 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. 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Contact Us Contact Us Text Us Map & Directions Get ID Card ABOUT ME As your local State Farm Agent and a born Tulsan , I'm proud to serve our community. I've been with State Farm for 13 years, married to my bestfriend, who is also a State Farm Agent, and a mother to two wonderful daughters. I love helping my customers understand their insurance. I have the skills and knowledge to help you protect what matters most. As a State Farm Agent , I take pride in providing personalized service and building lasting relationships with my customers. When I'm not in the office, you can often find me out enjoying local restaurants and shops, relaxing at home with my family, or at a concert. We’re excited for the opportunity to help customers with their insurance and financial service needs to help prepare them for life’s unexpected. I look forward to getting to know you and helping you achieve your goal. We are proud to service the Tulsa, Broken Arrow, Owasso, Claremore, Jenks, Glenpool, Bixby, Skiatook, Collinsville, Berryhill, Sand Springs, Sapulpa, Coweta, Catoosa, Inola, Pryor and surrounding areas! My office and I can assist you with: ● Auto Insurance ● Homeowners & Renters Insurance ● Health Insurance ● Life Insurance ● Small Business Insurance ● And more! Give us a call if you are moving to Tulsa, or the surrounding Oklahoma areas. We are a family of highly skilled individuals working together to fulfill a community responsibility of giving outstanding service and also fulfilling our moral obligation of protecting what's important to customer's so they can focus on accomplishing their life goals. Stay protected with our fall insurance coverage! Call us today for a quote on Auto, Home , Life, Commercial Insurance, and more! …Read More * * * 5 out of 5 average rating on Google (57 reviews) OFFICE HOURS Today 9am - 4pm (Central) Mon-Thu 9am - 5pm Fri 9am - 4pm Sat-Sun Closed Call or text us 24 hours a day! * * * INSURANCE PRODUCTS OFFERED Auto, Homeowners, Condo, Renters, Personal Articles, Business, Life, Health OTHER PRODUCTS Banking, Mutual Funds, Annuities FINRA’s BrokerCheck View Licenses * * * 5 out of 5 average rating on Google (57 reviews) Contact Us Contact Us Text Us Map & Directions Get ID Card WOULD YOU LIKE TO CREATE A PERSONALIZED QUOTE? Select an Insurance Product Select Product AutoHomeownersCondo OwnersRentersLifeHospital IncomeMedicare SupplementPet InsuranceSmall BusinessMotorcycle 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 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 Request a Quote Continue a saved quote | Items needed for a quote File a Claim Send Payment * Auto Insurance * Motorcycle Insurance * Homeowners Insurance * Condo Insurance * Renters Insurance * Business Insurance * Life Insurance * Rec Vehicles Insurance * Boat Insurance * See More OFFICE INFO OFFICE INFO OFFICE HOURS Today 9am - 4pm (Central) Mon-Thu 9am - 5pm Fri 9am - 4pm Sat-Sun Closed Call or text us 24 hours a day! ADDRESS 1709 Utica Sq Suite 240 Tulsa, OK 74114-1420 Map & Directions * PHONE (918) 742-6888 LANGUAGES English About Me As your local State Farm Agent and a born Tulsan , I'm proud to serve our community. I've been with State Farm for 13 years, married to my bestfriend, who is also a State Farm Agent, and a mother to two wonderful daughters. I love helping my customers understand their insurance. I have the skills and knowledge to help you protect what matters most. As a State Farm Agent , I take pride in providing personalized service and building lasting relationships with my customers. When I'm not in the office, you can often find me out enjoying local restaurants and shops, relaxing at home with my family, or at a concert. We’re excited for the opportunity to help customers with their insurance and financial service needs to help prepare them for life’s unexpected. I look forward to getting to know you and helping you achieve your goal. We are proud to service the Tulsa, Broken Arrow, Owasso, Claremore, Jenks, Glenpool, Bixby, Skiatook, Collinsville, Berryhill, Sand Springs, Sapulpa, Coweta, Catoosa, Inola, Pryor and surrounding areas! My office and I can assist you with: ● Auto Insurance ● Homeowners & Renters Insurance ● Health Insurance ● Life Insurance ● Small Business Insurance ● And more! Give us a call if you are moving to Tulsa, or the surrounding Oklahoma areas. We are a family of highly skilled individuals working together to fulfill a community responsibility of giving outstanding service and also fulfilling our moral obligation of protecting what's important to customer's so they can focus on accomplishing their life goals. Stay protected with our fall insurance coverage! Call us today for a quote on Auto, Home , Life, Commercial Insurance, and more! Products INSURANCE PRODUCTS OFFERED Auto, Homeowners, Condo, Renters, Personal Articles, Business, Life, Health OTHER PRODUCTS Banking, Mutual Funds, Annuities FINRA’s BrokerCheck View Licenses OFFICE INFO OFFICE INFO OFFICE HOURS Today 9am - 4pm (Central) Mon-Thu 9am - 5pm Fri 9am - 4pm Sat-Sun Closed Call or text us 24 hours a day! ADDRESS 1709 Utica Sq Suite 240 Tulsa, OK 74114-1420 Map & Directions * PHONE (918) 742-6888 LANGUAGES English Simple Insights® SIMPLE INSIGHTS® ARE YOUR INVESTMENTS REALLY PAYING OFF? ARE YOUR INVESTMENTS REALLY PAYING OFF? Use this calculator to compare the rate of return on your investments and see if your investment savings are helping you to meet your financial goals. PROTECT YOUR KIDS FROM HEATSTROKE IN HOT CARS PROTECT YOUR KIDS FROM HEATSTROKE IN HOT CARS Leaving kids in hot cars is dangerous. Protect your child in and around a hot car with these tips. 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. View More Articles Contact Us Our Mission Our Team YOU CAN ALSO CALL US AT (918) 742-6888 preferred__url preferred__topic preferred__extra 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. The mission of the Jessey Lile State Farm team is to provide Tulsa and surrounding counties with reliable insurance coverage they can count on. Our office is here to help State Farm customers insure what they cherish most, plan for their future and provide a unique and personal customer service. Stop in and meet with our experienced insurance team to get covered today! JESSICA SHOOK Account Representative License #3002851397 Jessica is a lifelong Tulsan. She is a former Nurse Practitioner. Her passion for helping people is a true gift. She is the Momma to two little kiddos. In her free time she loves going to the lake and camping with her husband & Kids. If you are a lake enthusiast like her, give her a call to get your boat or RV insured. Have questions on about your current coverages? Need quotes on your home, auto, renters insurance? Call and ask for Jess. She is ready & excited to help you! …Read More MICHAEL WHITWORTH Account Representative License #3002857820 Tulsa and the surrounding cities has been home sweet home to Michael for 30 years. He is a proud Dad of 7 children and a Pop-pop to 1. Family is a huge priority to him. His faith, hard work, and desire to help others overflows from the passion he has to serve, protect, provide, and take care of his family. He loves the early morning hours with his wife as we s watching the sunrise with a cup of coffee. He enjoys singing & playing his guitar. On the weekends you will find him at one of his kiddos sporting events and usually ends the evening with having his parents over to play some card games and sharing a lot of laughter. He looks forward to church and seeing friends or even a stranger that he might be able to lift up, encourage, or brighten their life in some way. He loves people and strives to live by the “golden rule” to treat others the way you would want to be treated. If you need home or auto insurance, Mike is your guy! …Read More CHRISTINA PANDIAN Customer Service Manager License #40050650 Christina is a highly experienced professional with over 10 years of State Farm experience. She specializes in taking care of customers and is licensed in Auto, Fire, Life, and Health Insurance. Christina's knowledge in these areas make her an excellent resource for any insurance-related inquiries or concerns. …Read More YOU CAN ALSO CALL US AT (918) 742-6888 preferred__url preferred__topic preferred__extra 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 LICENSE FOR JESSEY LILE OK-40166072 If you are using a screen reader and having difficulty with this website please call (918) 742-6888. DISCLOSURES Prices vary by state. Options selected by customer; availability, amount of discounts, savings and eligibility may vary. Securities are not FDIC insured, are not bank guaranteed and are subject to investment risk, including possible loss of principal. Neither State Farm nor its agents provide tax or legal advice. State Farm VP Management Corp. is a separate entity from those State Farm and/or unaffiliated entities which provide banking and insurance products. AP2024/07/0846 Securities distributed by State Farm VP Management Corp. State Farm VP Management Corp. Customer Relationship Summary Securities Supervisor address:7060 S Yale Ave Ste 901 , Tulsa, OK 74136-5727 Phone: 918-621-3207 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. The creditor and issuer of this credit card is U.S. Bank National Association, pursuant to a license from Visa U.S.A. Inc. Like a good neighbor, State Farm is there.® Legal Information Ads & Tracking Security & Fraud Accessibility Terms of Use Notice of Privacy Policy State Privacy Rights Site Map Download the State Farm mobile app today Give Agent Jessey a call (918) 742-6888 © Copyright State Farm Mutual Automobile Insurance Company 2024.