Widget:Kim Hastings Quoate

<section id="quote" class="quote-section">

Quote & buy online

<form id="2991151" class="quote-form" method="GET" target="_blank" data-ya-scope="getaquote" action="https://www.farmers.com/quote/ffq/directlandingpage.jsf" data-parsley-validate="" aria-live="polite" role="form" novalidate=""><label for="2991151-quote-insurance" class="sr-only">Insurance Type (required)</label><select id="2991151-quote-insurance" data-ya-track="state" class="quote-insurance Form-input Form-dropdown Form-input--block parsley-success" name="Lob" required="" data-parsley-error-message="Error: Insurance type is a required field" data-gtm="AWS_agentpage_getaquotestate-select_Sidebar" data-parsley-id="2596"><option value="" selected="" disabled="">Select a type of insurance</option><option value="Auto" id="js-state-Auto" data-ya-track="auto">Auto</option><option value="Home" id="js-state-Home" data-ya-track="home">Home</option><option value="Lifec" id="js-state-Lifec" data-ya-track="lifec">Life</option><option value="Business" id="js-state-Business" data-ya-track="business">Business</option><option value="Renter" id="js-state-Renter" data-ya-track="renter">Renters</option></select>

<input type="hidden" name="Source_Indicator" value="AP"><input type="hidden" name="State_Code" value="TX"><input type="hidden" name="Agent_Code" value="1964CL">

<input required="" type="text" value="77429" id="2991151--zip" name="Zip_Code" data-ya-track="postal" class="quote-zip MagicInput-input parsley-success" data-parsley-length="[5,5]" data-parsley-required-message="Error: zip code is a required field" data-parsley-length-message="Error: Please enter 5 digits for zip code" data-parsley-trigger="keyup" data-parsley-type="digits" data-parsley-validation-threshold="0" data-gtm="AWS_agentpage_getaquotepostal-input_Sidebar" data-parsley-id="5464">

<label for="2991151--zip" class="MagicInput-label MagicInput-label--activated">Enter your zip code</label>

<button type="submit" class="quote-button" data-ya-track="submit" data-gtm="AWS_agentpage_getaquotesubmit-button_Sidebar">Get a Quote</button><input type="hidden" name="Source_Indicator" value="AP"></form></section>