Welcome to D.W. Kendall Insurance Agency! We are an Independent Insurance Agency serving the Miami Valley and West Milton for over 80 years!  We offer Auto, Home, Farm, Business, Life, Health and Long Term Care Insurance Protection!  We're Independent - We Work For You!

Quote Forms: Service Forms: Term Life Insurance Quote First & Last Name:   Street Address:   City, State & Zip:   E-Mail Address:   Telephone:   Fax:   Self Name: Date of Birth Sex: Martial Status: Height/Weight: Tobacco Use? Cancer or Diabetes? Heart or HBP? Yes No Amt. of Coverage $ Type of Coverage Disability Income Long Term Care Term Whole Universal Yes No Yes No Describe any health problems you have (had) & prescriptions: Spouse Name: Date of Birth Sex: Martial Status: Height/Weight: Tobacco Use? Cancer or Diabetes? Heart or HBP? Yes No Amt. of Coverage $ Type of Coverage Disability Income Long Term Care Term Whole Universal Yes No Yes No Describe any health problems you have (had) & prescriptions: Children Name: Date of Birth Amt. of Coverage $ Type of Coverage Term Whole Universal Term Whole Universal Term Whole Universal Additional Comments: