Quote Request

To obtain a quotation for Directors and Officer coverage, please click, print and complete the quote request form. Return the completed form to our office via mail or fax to:

Tegner-Miller Insurance Brokers
ATTN: Jan Grant, Commercial Insurance Dept.
P.O. Box 511
Santa Monica, CA 90406
Phone: 310-526-751

Fax: 310-453-7971
ATTN: Jan Grant, Commercial Insurance Dept.

If you have any questions, or need assistance completing the form, please contact our office at 800-775-TMIB.