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Driving History

List all accidents and/or violations that you have had in the last 3-5 years (regardless of fault)

The carrier will confirm your driving history with the DMV by getting your Motor Vehicle Records.

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Drivers on your Policy*

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If you are missing a driver, please add them now

*Who should be listed as a driver? A person should be listed (as a driver or excluded driver) on your policy if they are 14 years or older & live in your household. A person should also be listed if they use a vehicle on your policy on a regular or occasional basis regardless of whether they live in the same household or not.

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Vehicles on your Policy.

We need your vehicle details

Vehicle Year
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Vehicle Make
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Primary Vehicle Use

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How many days do you commute to work?

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How many miles do you commute to work one way?

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How many miles do you drive annually?

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Do you own or lease?

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Choose your coverage for  


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Often referred to as Liability Coverage only or State Minimum Coverage. Liability insurance pays for property damage you cause to others while driving.
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Often referred to as Full Coverage a full coverage policy includes liability insurance and also includes additional protection to cover the damage to your own vehicle (minus deductibles).
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Vehicle Summary

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Would you like to add uninsured motorist* coverage at an additional cost?
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Uninsured and Underinsured Motorist is coverage that can assist in covering your injuries during a covered loss if the accident is caused by the negligence of the other driver and they either do not have liability insurance (Uninsured) or they do not have sufficient liability insurance to cover your loss (Underinsured).

* Uninsured motorist coverage (UM) is an add-on coverage for auto policies that will pay for injuries and damages caused by an uninsured driver.

** Some of these coverages may be required by law in your state and will be added to your quote .

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Would you like to add Medical Coverage at an addtional cost?
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The optional coverage can be used to pay for your medical bills. You can use it if you're at fault for the accident or if other driver was at fault. Medical payments coverage also handles the medical bills for your passengers.

Some of these coverages may be required by law in your state and will be added to your quote to satisfy minimum coverage guidelines.

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Select Possible Discounts

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Select your prior insurance carrier that you've had for at least 3 months.
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