The Esten & Richard Agency is prepared to provide you with a no cost, no obligation review and comparison of your current insurance programs. We will make recommendations to improve you coverages while maintaining competitive premiums, giving you the most value for your insurance dollar.


To get started just down the appropriate form(s) below. For clarity we suggest typing your information directly into the PDF file, then saving a copy to your hard drive. Once you complete your form there are 3 convenient ways to return your forms to Esten & Richard:

1. Send the PDF as an attachment to contact@estenandrichard.com

2. Fax to (401) 762-4210

3. Mail to PO Box 639 - Woonsocket, RI 02895

To provide you with an accurate quote for your Personal Auto and Homeowners insurance, it will be necessary for you to complete all of the information as requested on the quote form and return it to us by email, fax (401-762-4210) or USPS. Since your Social Security Number is required, if you are emailing the form back to us, please leave that line blank for security purposes.


To provide you with accurate commercial insurance quotes please download and completed our Basic Commercial Database form here. The quote information can be returned to us by email, fax (401-762-4210) or USPS. You will be contacted by our commercial insurance specialists.

Commercial Insurance Lines Quote Form PDF

Commercial Insurance Lines Quote Form
PDF Format - 518kb