Get Your New Jersey Basic Car Insurance Quote Started with this secure form!

Now currently insured or uninsured customers now have a low cost - low coverage choice.
Answer the following questions for the "New Jersey Basic Auto Policy Quote Submission". A professional licensed agent will review the quotes with you.

NJ Car Insurance Automotive Insurers Quotes Determination Page

I need help with *
Personal Service Insurance Company offers competitive rates for drivers with a few points.
How Many Points DMV/Insurance Points added together? *
MVC/DMV and or Insurance points added together.
Have you been declined coverage?
Have any companies declined you coverage?
Is Your License SUSPENDED?
If Suspended You will need A Licensed Driver.
Any AT-Fault Accidents last 36 months *
At Fault accidents are 5 insurance points each.
Phone #'s to reach you? *
Example 8569989915 Multiple Numbers O.K. Day Number/s Are Best.
Email Address? *
Email address where your Basic quote will be sent.

Email Address Again
*

Verify Email address to send your Basic quote to.
Enter Last Name? *  
Enter First Name? *
Your Vehicle #1 Year|Make|Model *
Ford 2010 Mustang GT give as much information as possible. 4x4, se, dl, le etc. Enter VIN for most accurate quote, especially for Full Coverage.
Your Vehicle #2 Make|Year|Model Leave blank if no other vehicles
Your County? *
Enter your NJ County
where you live.
Town Name/City? *
Enter your NJ Town of Residence
Male or Female? *
Rates are gender based select Male or Female
Date Of Birth/Age *  
ex: 12/29/1964
Marital Status *
Distance Driven- miles per day *
One Way mileage to work or school.
Liability Limits needed *
Property Damage needed *
PIP Personal Injury Protection needed *
This covers medical expenses from auto accident etc.
   
PIP Medical Personal Injury Protection deductible *
Your out of pocket deductible for medical claims.
Does Vehicle Have Any Airbags? *
Your Street Address *
Zip? *
Your State? *
Quotes for New Jersey Residents Only.
Are cars Leased/Financed/Paid Off? *
Is vehicle Registered to you? *
 
How many licensed drivers in house: TOTAL # *
Please select the total number of licensed drivers in your household.

When do you Need Coverage?
Have you Had a DUI/DWI last 3 years?
DUI-DWI equal 9 Insurance Points for 3 years from court settlement date.
Enter your drivers license # for most accurate quote.  
If no drivers license is entered your quote will be based on the information/points etc that you supply, so try and be as accurate as possible for a true quote.
Additional Information Other Drivers-Other Vehicles  
Please list other drivers that need to be insured above Age M/F D.O.B. points vehicle driven etc. Add any additional information that you that important.
Your Quote will be emailed directly to you. ***You may need to check bulk Email folder to find your quote, especially with free email services, Yahoo or Hotmail etc.***

New Jersey Basic Auto Policy Quote Request Form

 

The Basic Coverage's in NJ are

1. PROPERTY DAMAGE LIABILITY
$5,000 liability limit
2. BODILY INJURY LIABILITY
$10,000 Optional coverage available.
3. PERSONAL INJURY PROTECTION (PIP) MEDICAL EXPENSE LIMIT
$15,000 PIP limit ($250,000 for catastrophic injuries)
4. PERSONAL INJURY PROTECTION MEDICAL DEDUCTIBLE
$250 deductible
5. EXTRA PIP PACKAGE COVERAGE - Non Medical Benefits
Not available
6. UNINSURED/UNDERINSURED MOTORIST COVERAGE
Not available
7. COLLISION COVERAGE
Offered by some insurers
8. COMPREHENSIVE COVERAGE
Offered by some insurers
9. LAWSUIT OPTION
Limitation on Lawsuit Option


The Basic Policy can be purchased through any insurance agent or company.

 

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INS New Jersey Auto Quick Quote Request for a New Jersey Basic Auto Policy