Personal Risk

Personal Insurance Quote

If you would like a personal insurance quote, please download, complete and submit this form. You may submit it by email to Lindsay Burkeen, Family Account Manager, or by fax to 270-538-9118.

An agent will contact you as soon as possible to provide a solution to your needs.

Please note that completion of the following request for information does not constitute the purchase of insurance. No coverage may be added, changed or bound as a result of submitting this request for information or quotation of insurance. All coverage must be confirmed by the agency in writing subject to an acceptable signed application meeting the underwriting guidelines of the Insurance Company.

Peel & Holland is licensed in multiple states. For a complete listing of states in which we are licensed, please contact our office at 800.599.8621 or No solicitation of insurance is being made outside of the states in which we are licensed.