Welcome to Eastman Insurance Solutions, you're almost family!We believe the right insurance conversation starts with understanding your business, not simply generating a quote. This short intake gives our team the essential information we need to learn who you are, what you do, and how we may be able to help. It takes about 90 seconds to complete. Once submitted, an EIS advisor will review your information and reach out to continue the conversation.What coverage are you looking for?(Required) Liability Insurance Commercial Auto Property Workers Comp License/Performance Bond Equipment Coverage Excess Liability EPLI/Employment Liability Select all that apply. Not sure what you need? That's okay. We'll help you identify the right coverage as we learn more about your business. Point Of Contact(Required) First Last Business Name(Required)Phone(Required)Email(Required) Business Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Help Us Better Understand Your Current Coverage If readily available, upload your current insurance declarations pages. This is optional, but it allows our advisors to better understand your existing coverage, limits, and potential areas we should discuss. PDF files are preferred. Drop files here or Select files Max. file size: 98 MB. What brought you to EIS?(Required) Internet Search AI Search Business Referral Personal Referral Which AI platform did you use? ChatGPT Google AI Claude Perplexity AI Microsoft Copilot Grok Who referred you to us?(Required)Tell us briefly about your business and what prompted you to reach out to EIS today.What does your business do, and what would you like our team to help you with?
