NJPAIP New Jersey Car Insurance Consumer Quoting and Qualification Assistance

NJPAIP Consumer Help with New Jersey Car Insurance in the assigned or high risk market.
NJ PAIP- New Jersey Car insurance rates are set by the State Department of Banking and Insurance, so you will not need to shop around to find the best deal.
You will need help from a NJPAIP Certified Producer. Simply fill out this form to begin.
Once your quote request is submitted your quote will be emailed to you along with further instructions.

I need help with * NJ PAIP Rates are set by the State Dept of Insurance. You wont have to shop around.
How Many Points DMV/Insurance Points added together? * MVC/DMV and or Insurance points added together
Have you been denied coverage recently? Effective Jan. 1ST 2009 Companies do not have to offer coverage to everyone.
Is Your License SUSPENDED? If Suspended You will need A Licensed Driver.
Any AT-Fault Accidents last 36 months * At Fault accidents 5 points each.
Phone #'s to reach you? * Example 8569082015 Multiple Numbers O.K. Day Number/s Are Best. Indicate day number please.
Email Address/s? * Email where quote will be sent.
Email Address Again * Verify Email address to send quote to
Last Name? *
First Name? *
Vehicle Make|Model|Year #1 * 2005 Ford Mustang LS give as much information as possible. 4x4, se, dl, le etc.
Vehicle Make|Model|Year #2 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? * New Jersey Car Insurance Rates Are Gender Based
Date Of Birth * ex: 01/01/1961
Marital Status *
Distance Driven- miles per day * One Way mileage to work or school.
Liability Limits Requested * Leased Vehicles Require $100/300
Property Damage Requested * Leased Vehicles Require $50,000
NJPIP Personal Injury Protection Requested * NJPIP Covers Medical Expenses Accidents etc.
Do you have Group Health Insurance? You May Be Eligible to Name NJ Group Health as Primary Saving Money
PIP Personal Injury Protection deductible * Your out of pocket deductible
Airbags? *
Physical Damage Comprehensive * Comprehensive Deductible
Collision Coverage * Collision Deductible
Street Address? *
Zip? *
Your State? * New Jersey
Are cars Leased/Financed/Paid Off? * Leased Vehicles Require 100/300/50,000 If leased you will need a copy of the lease.
Is vehicle Registered to you? * Title is OK, Registration Expired Ok,
How many licensed drivers in house: TOTAL # * You will need a copy of each NJ DL & Insurance Information.
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. I consent to processing my quote request.
Your Quote will be emailed. You may need to check Bulk Email folder to find your quote
 NJ PAIP NJ Car Insurance Quote Form. Your Quote will be emailed directly to you.

NJ-PAIP Logo Image. Click here to get help with NJ high risk auto or non standard auto insurance policies
NJ Car Insurance  NJ High Assigned Risk Automobile Insurance Consumer Quoting Resources.

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