What is your last name?
Cu�l es su apellido?
How is it spelled?
C�mo se escribe?
What is your maiden name?
Cu�l es su nombre de soltera?
What is your address?
Cu�l es su direcci�n y c�digo postal?
Where were you born?
D�nde naci�?
What is your social security number?
Cu�l es su n�mero de segura social?
Do you have insurance?
Tiene Ud. seguros?
Who is your insurance company?
Qu� es su compa��a de seguros?