Address: 525 W. Southern Mesa AZ 85210  ~  Office: 623-546-2210  ~  Toll Free: 1-866-399-4629

Renters Insurance

Please use the form on this page to request  a quote and save money on your renters insurance. Casa Latino Insurance will review your information and one of our knowledgeable agents will contact you.
   
  Renter Information:
   

Full Name:

 

Daytime Phone:

 

Evening Phone:

 

Email:

 

Address:

 

City, State, Zip:

 
   
  Rental Information:
   

Square Feet:

 

Number of Bedrooms:

 

Number of Bathrooms:

 

Est. Property Value:

 

Please Check All That Apply: 
Smoke Detectors Alarm Dead Bolts Interior Sprinkler System

   
  Other Information:
   

Are You Currently Insured:  Yes    No

Have you had any claims in the past 5 years:  Yes    No



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