HK Financial Services is now part of Blucora. Please visit Blucora for more details.
  • Blucora HK-Logo
  • HK Financial ServicesHKFS-Logo
  • HKFS RetirementHKRS-Logo
  • HK Alliance HKA-Logo

HKFS Life Insurance Quote Request

Fax Request to Insurance Dept. at (563) 582-1040 or email to Honkamp Krueger Financial Services, Inc.
3390 Asbury Road, Dubuque, IA 52002 Phone: (563) 582-2855

  • Personal Information
  • Select Options
  • MF
  • MF
Have you used tobacco products?*
  • YesNo

Health Conditions
Heart Conditions
  • YesNo
  • YesNo
  • YesNo
High Blood Pressure
  • YesNo

Please Check all that apply
Do you participate in any of these activities?
  • Scuba DivingSky DivingAviationMountain ClimbingRacing VehicleCarMotorcycleBoatSnowmobile

Check all that you are requesting illustrations for
Type of Life Insurance Requested
  • 10 Years15 Years20 Years30 YearsUniversalVariableWhole Life2nd To Die
Pay Mode
  • Monthly (PAC)QuarterlySemi-AnnualAnnual
Payment Duration
  • Single Pay5 Pay10PayLife PayOther
On Cash Value policies, Is there a 1035 Exchange?
  • YesNo
Is accumulating cash value important to the client?
  • YesNo