Shadcn.io is not affiliated with official shadcn/ui
React Contact Block Insurance
Insurance quote request form with coverage type, policy details, risk assessment, and personalized rate factors for insurance providers
Protect what matters most with the right coverage. This React insurance quote component captures policyholder information with coverage type selection, asset details, risk profile assessment, and discount eligibility. Built with shadcn/ui Card, Input, Select, RadioGroup, Checkbox, Slider, and Textarea components, the form qualifies insurance leads while gathering underwriting essentials. Multi-policy discounts, deductible preferences, and coverage limits—perfect for insurance agencies, brokers, auto insurers, home insurance providers, health plans, or any risk management business.
React Contact Block Insurance preview
Installation
Related Components
Contact Quote Request
Quote form with budget slider
Contact Loan Application
Loan pre-qualification form
Contact Consultation Form
Consultation booking with pricing
Contact Sales Form
Sales inquiry form with company details
Contact Booking Form
Service appointment booking
Contact Membership Form
Membership signup with tiers