- AUTO INSURANCE - Auto Insurance Quote Form Fill out the following form as completely as possible. Once you have completed the form, click Submit to send your information to Insurance Discounters of Ohio. We will handle your request shortly. Please enable JavaScript in your browser to complete this form.Vehicle *VIN NumberAnnual MileageDrive to Work or SchoolYesNoNumber of Miles (One Way)Days Per WeekComprehensive Deductible$50$100$250$500$1000Collision Deductible$50$100$250$500$1000Towing203035405075Rentals203035405075Add Vehicle and Continue