D.R. Cox & Company, Inc.

Serving owners & pilots since 1967.

Contact Us

QUALITY COVERAGE

COMPETITIVE PREMIUMS

SINCE 1967

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Please fill out the information below to receive a quote:

    Exact Name of Aircraft Owner

    Pilot Information:

    Name

    Address

    City

    State

    Zip

    Occupation

    Age

    Email

    Contact Number

    License and Ratings

    Total Hours Logged

    Total Hours Logged in Last 12 Months

    Total Hours Logged in Make/Model

    Formal Schools or Training:

    Any Accidents/Violations/Waivers? YesNo

    If Yes, please explain

    Aircraft Information:

    Year

    Make

    Model

    FAA Registration Number

    Total Seats

    Use:

    Hull Value

    Base Airport:

    Airport Name

    ID

    Runway Length

    PavedHangared

    Limits of Liability (select one or more)

    $1,000,000 Each Occurrence - $100,000 Each Passenger$1,000,000 Each Occurrence - $200,000/$250,000 Each Passenger$1,000,000 Each Occurrence - No Passenger Limitation

    Other:

    D.R. Cox & Company, Inc.

    4807 Newcom Ave.

    Knoxville, TN 37919

    865.588.2448 Phone

    800.21.PLANE Toll Free

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