Customer Support & Forms

The following downloadable forms are provided for the convenience of our clients. The forms are available in both Microsoft Word and Adobe PDF formats.

Your personal data safety is paramount to us. Therefore, we do not offer these forms to fill out on-line because of obvious security concerns. These documents can be printed and filled out and faxed to us at 412.220.9046.

» Request an Auto Insurance Quotation (Microsoft Word)
» Request an Auto Insurance Quotation (Adobe PDF)
» Request a Homeowners Quotation (Microsoft Word)
» Request a Homeowners Quotation (Adobe PDF)

Customer support is simply a phone call away. Just call us at (412) 220-0300 with your questions, concerns or requests. You can always use our contact form to e-mail us. We look forward to hearing from you.

Single Source Benefits strictly follows the guidelines of the Health Insurance Portability and Accountability Act (HIPAA). The contents of your faxed communication are protected by state and federal law. This priveledged and confidential information is intended only for use by the Single Source Benefits staff to fulfill your request.