The Insurance Application Request Form on this site resides within a secure server environment to prevent interception of your personal information by others. This means that the information within this page is encrypted during transit. Encryption makes it very difficult for unauthorized people to view information traveling between secure computers. It is therefore very unlikely that anyone can read this page as it travels across the Internet. You can verify that your browser is operating in a secure environment because the "lock" icon along the bottom edge of your browser will change to a "locked" position as indicated by the icons below:

• For Internet Explorer:
• For Netscape Navigator:

You can click on the locked icon in your browser to get information on the security certificate and the issuing authority. The information for the PrimeQuote Application Request Form should indicate that the security certificate is issued by Thawte Server CA and that the certificate is issued to PrimeQuote.com. If you have any questions about the security certificate used on this site, please contact the PrimeQuote Webmaster or the site's Owner: