Select Policy Type *
NJ PAIP Rates are set by the State Dept of Insurance. You wont have to shop around.
How Many Points DMV or Insurance Points do you have? *
NJ-MVC/NJ-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? *  
(111) 111-1111 Multiple numbers are OK.
Email Address/s? * Email where quote will be sent.
Email Address Again * Verify Email address to send quote to
Last Name? *  
First Name? *  
Vehicle #1 Year|Make|Model *  
2005 Ford Mustang LS give as much information as possible. 4x4, se, dl, le etc. For most accurate quotes include Vehicle ID Number (VIN)
Vehicle #2 Year|Make|Model
Leave blank if no other vehicles
Your County? *
Enter your NJ County of Residence
Town Name/City? *
Enter your NJ City of Residence
Male or Female? *
NJ PAIP Rates are gender based
Date Of Birth/Age *
Example: 01/01/1964
Marital Status *
Distance Driven- miles per day *
One Way mileage to work or school.
Liability Limits needed *
Financed & Leased usually require $100/300
Property Damage needed *
Financed & Leased usually require $50,000
PIP Personal Injury Protection needed *
This covers medical expenses from auto accident etc.
PIP Personal Injury Protection deductible *
Your out of pocket deductible
Airbags? *
Physical Damage Comprehensive *
Full Coverage Comprehensive Deductible
Collision Coverage *
Full Coverage Collision Deductible
Street Address? *
Zip? *
Your State? *
Quotes for New Jersey Residents Only.
Are cars Leased/Financed/Paid Off? *
Leased Cars usually require 100/300/50,000.
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 5 years?
DUI-DWI is 9 Insurance Points
Additional Information Other Drivers-Other Vehicles
Please list other drivers that need to be covered here Age M/F points vehicle driven etc.
Your Quote will be emailed. You may need to check bulk Email folder to find your quote