Backyard Insurance Brokers
855-543-3713
855-LIFE-713

Schedule an appointment

Please use this form to request an appointment to discuss your insurance needs.

 

Please note: We are insurance brokers, we work for you, not the insurance company! Tell us the truth and we can find the right coverage with a carrier that will accept your past and/or will insure chronic illness. During this meeting we will be asking for personal information in order to qualify you for insurance coverage. We will ask about your health history and prescriptions, occupation, criminal history, and finances. All of this information is confirmed in real time when we fill in your application for insurance with the carriers. Failure to disclose information could result in unfavorable coverage or an outright decline in coverage. 

 

We do not sell or share your information with other brokers or agents! If you would like to know about the information we collect, and how it is used, please view our privacy policy here and our terms and conditions here

Scheduling Form

Name *
Phone *
City *
State *
Email *
Product of Interest *
First Choice *
Second Choice *
Message

Check how you wish to OPT-IN to be contacted. You may OPT-OUT at anytime from any list by sending an email to optout@backyardinsurance.com

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Address:

109 Bush Street

Buffalo, NY 14207 USA

Phone:

In NY 716-217-5881

Anywhere in the USA 855-543-3713

Email:

advisor@backyardinsurance.com