Contact Us

Thank you for considering Casual insurance Group for all your insurance needs. We are able to offer very competitive rates and the best customer service possible. Please contact us for a quote or to set up a personal insurance consultation.

Visit our location or contact by phone at 561-429-3181 for prompt, friendly and knowledgeable insurance service.

Fill out the form below to request a quote today!

General Information
Name *
Address
Phone	Cell
Email Address *
Best Method to Contact
Email    Telephone

Auto Quote Sheet
Prior Insurance		Policy #
Number of Vehicles		Drivers
Vehicle 1
Year	Make	Model	Vin #
Vehicle 2
Year	Make	Model	Vin #
Vehicle 3
Year	Make	Model	Vin #
Drivers
Name		DOB
Name		DOB
Name		DOB
Description of any Violations

Homeowner Quote Sheet
Prior Insurance		Policy #
Construction Type		Year Built
Masonry    Frame
Sq. Ft.	Total Rooms	Bath	Garage
Fireplace	Stories	Roof Type	Pool
Screened/Fenced		Diving Board
Gated Community
Yes    No
Cov A: Amount		Effective Date
Dogs		Types
Yes    No
Privacy Statement
The information which you give in completing this form will be used exclusively by Casual Insurance Group, LLC and will not be used by a third party.

* Required to submit this form

Casual Insurance Group LLC
224 Datura St., Suite 506
West Palm Beach, FL 33401
Phone (561) 429-3181
Fax (561) 537-7007
casualinsurancegroup@gmail.com


Office Hours
Monday - Friday
9:00 A.M. - 5:00 P.M.
Saturday by appointment only