Start A Life Insurance Quote

At Bird Insurance Group, you won’t find faceless online sales pitches or voicemail menus — just real, licensed insurance agents who care about meeting your specific insurance needs. Call one of our experienced agents today at 352-489-1992 or fill out the quote form below.

You are only required to complete the first section of this form in order to receive a response from an agent. Any other information you would like to enter on this form is optional.

Contact Information

Personal Information

Please enter information below for all to be covered.


ft. in.

If Spouse and Children are applicable, Click Here

Individual Histories

Please list any individual histories on each person to be covered.


If yes please list to the right

If Spouse and Children are applicable, Click Here

Life Coverages


If Spouse and Children are applicable, Click Here

Additional Comments

Please give any additional comments you feel appropriate for this quotation. If you have additional children or other information where there was not enough space, please enter them here.

Please click on the "Submit Quote" button to send your quote request.
One of our representatives will respond to your submission as soon as possible.

Submission of quote request form to this agency does not constitute a binding confirmation of new or revised insurance coverage.