Omega insurance Services
Omega Insurance Services
"The end of your search for quality insurance"
CoveragesObtain a QuoteReading Your Policy

Please take a minute and complete the following information so we can give you a quote. This form can be emailed to us by clicking on the submit button below; or you can fax it to us at 661.326.6871; or you can call us at 661.326.6870; or you can mail it to us at 4700 Stockdale Highway Suite 125, Bakersfield, Ca 93309

Additional types of quotes available: General Quote | Commercial Auto Quote

Worker's Compensation Quote
Owner's Name:
SSN:
Business Name:
Federal ID:
Business Address:
City State Zip Code
Contractor's License Type & Number:
Brief description of the type of work you do:
Residential Commercial
Estimated Gross Annual Receipts:
Estimated Annual Employee Payroll:
Briefly describe employee positionsand breakdown of payroll per
department:
Current Worker's Comp. Policy Carrier:
Number of years in business:
Claims made within the last three years:
If yes, please list the date(s) of occurrance & amount the insurance carrier paid out:

Email Us
Change of address form
Site Index
4700 Stockdale Highway Suite 125
Bakersfield, Ca 93309
Toll Free: 877-506-6342 Ph.: 661.326.6870; Fax: 661.326.6871

2001 Hexadecimal Designs