PAY IT FORWARD WITH UIP!

FREE $10 GIFT CARD WITH A UIP INSURANCE QUOTE!*

Welcome CSEA members! Please complete the form by providing your information and a Member Service Representative will contact you for your free gift for a quote ASAP! If you have a copy of your policy, please use the upload feature so that we may expedite your request. Please feel free to call UIP at 800.707.2360 should you have any questions.

Your Information

So we can send your $50 if your referee insures with us. (Funds will be mailed to the address you list below after purchased policies are in place.)

Your Name*

First NameLast Name

CSEA Chapter #

CSEA Chapter Number

Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Your Phone #*

Area CodePhone Number

Your Email*

example@example.com

Please provide a free quote on my current

Auto InsuranceHome InsuranceRenters InsuranceOther

Approximate insurance policy expiration date?

Policy Expiration

If you have a copy of your current insurance declarations page, please upload it and one of our agents will get started on your estimate right away.

Browse Files

Insurance Declarations Page Upload

Which free $10 gift card would you like?

Starbucks e-Gift CardAmazon e-Gift Card

Please verify that you are human*

*You must provide a copy of your current insurance coverage to UIP to be eligible. Limited to one $10 CSEA store gift certificate, one Starbucks egift card or one Amazon egift card per household. Promotion is subject to change at any time. Insurance products offered by United Agencies and its affiliates including United Insurance Partners Insurance Services, LLC. Certain restrictions apply. CA Ins. Lic. #0252636. Offer may change at any time and additional conditions may apply.