Request a Quote - Aircraft Insurance Agency By Duncan

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Request a Quote

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Our Services
Clients Aircraft
About
Contact Us
Request a Quote

Contact Details

Aircraft Insurance Agency by Duncan, LLC.
P.O. Box 428

Corsicana, TX 75151

800-232-1953

Working Hours

Monday – Friday 9:00AM – 5:00PM

Request a Quote Form

Basic Information

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Date of Submission

MM slash DD slash YYYY

Date that the form was submitted

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Time Started

Hours

:

Minutes

AM/PM

Time the user started working on the form.

Your name(Required)

First Last

Email(Required)

Phones(Required)

Cell Phone

Work Phone

Home Phone

Other / Additional

Check all that apply.

Cell Phone(Required)

Work Phone(Required)

Home Phone(Required)

Additional Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Aircraft Information

Aircraft Make and Model(Required)

Year of Aircraft(Required)

Please enter a number from 1900 to 2050.

Number of Seats(Required)

Value $(Required)

N#(Required)

Landing Gear(Required)

Straight

Tailwheel

Trigear

Retractable

Aircraft Use(Required)

Busn – Pleasure

Commercial

If Commercial, Please Explain(Required)

Primary Owner(Required)

First Last

Secondary Owner

First Last

Airport / hanger Information

Airport Name #1(Required)

Identifier #(Required)

Hangered or Tied Out(Required)

Hangered

Tied Out

Pilot #1 Section

Pilot # 1 Name(Required)

First Last

Date of Birth (Pilot #1)(Required)

MM slash DD slash YYYY

Pilot #1 Certificates(Required)

Student

Private

Commercial

ATP

Pilot #1 Ratings(Required)

Instrument

Multi

CFI

Rotor

MEI

Pilot #1 Memberships(Required)

AOPA

EAA

AND/OR ABS

Pilot #1 Membership Number(Required)

Jet Hours(Required)

Multi Hours(Required)

Retract Hours(Required)

Tailwheel Hours(Required)

Turbine Hours(Required)

Hours in Make and Model(Required)

Last 12 Total Hours(Required)

Last 12 Make and Model Hours(Required)

Total Hours(Required)

Any Losses, waivers, violations, and DUIs?(Required)

Yes

No

Please describe any losses, waivers, violations, and DUIs.(Required)

Current state of MED(Required)

Current Date of BFR(Required)

MM slash DD slash YYYY

Is there a 2nd pilot?

Yes

Do you need to input information for a 2nd pilot?
Certifications, hours, etc.

Pilot #2 Section

Pilot # 2 Name(Required)

First Last

Date of Birth (Pilot #2)(Required)

MM slash DD slash YYYY

Pilot #2 Certificates(Required)

Student

Private

Commercial

ATP

Pilot #2 Ratings(Required)

Instrument

Multi

CFI

Rotor

MEI

Pilot #2 Memberships(Required)

AOPA

EAA

AND/OR ABS

Pilot #2 Membership Number(Required)

Jet Hours(Required)

Multi Hours(Required)

Retract Hours(Required)

Tailwheel Hours(Required)

Turbine Hours(Required)

Hours in Make and Model(Required)

Last 12 Total Hours(Required)

Last 12 Make and Model Hours(Required)

Total Hours(Required)

Any Losses, waivers, violations, and DUIs?(Required)

Yes

No

Please describe any losses, waivers, violations, and DUIs.(Required)

Current state of MED(Required)

Current Date of BFR(Required)

MM slash DD slash YYYY

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Aircraft Insurance Agency by Duncan, LLC. P.O. Box 428 Corsicana, TX 75151 © 2025 All Rights Reserved