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Our experienced agents will help guide you for the right plan with mutiple options at competitive rates.

Contact us by filling out the form below.

Contact & Customer Service Form

Step 1 of 4 – Contact Info

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Name*
First Last
Email*
Phone*

Are you a current client of our agency?*
- Yes
- No
Which policy(s) do you need help with?*
Please enter your policy number(s) if available

What is the nature of your inquiry?*
- General Question
- ID Card Request
- Policy Change Request
- Discuss A Claim
- Certificate of Insurance Request
What date do you need this policy change to take effect?*
DD slash MM slash YYYY
Which vehicle do you need an ID card for (please enter year, make, and model)?*
If you have the VIN, please enter it here
Please list the Additional Insured and/or Certificate Holder
Additional Insured and/or Certificate Holder Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Details regarding your question, policy change, claim or other request:*

Hello! What would you like a quote for?*
- Home & Auto Insurance
- Employee Benefits
- Business Insurance
- Life Insurance
- Health Insurance
Check all that apply. You can tell us if there is something else you need a quote for in just a moment.

Primary Policyholder Name*
First Last
Phone*
Email*

Insured Location Address*
Street Address Address Line 2 City State ZIP Code

This is not required, but if readily available, please upload your most current insurance policy coverage declarations pages in PDF format so we can see the exact coverage limits you'd like us to compare. These can be easily downloaded from your online profile with your current provider (if you have a login), or from your current agent.
Drop files here or

Max. file size: 39 MB.

What led you to request this quote?*
- Internet Search
- Facebook Search/Page
- Referral
- Newsletter
Who referred you to us?*
If you have any other questions, comments or requests, please leave them here

Get a Quote Here

Are you ready to save time, aggravation, and money? The team at SeibertKeck Insurance Partners is here and ready to make the process as painless as possible. We look forward to meeting you!

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Behind every client stands our 100+ year history and the hard-working people of SeibertKeck Insurance Partners. Founded in Akron, OH and proudly serving our surrounding Ohio regions.

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