I need help with * NJPAIP-NJ Car Insurance Quote 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? * SelectPointsTotal 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 more than 30 MVC/DMV and or Insurance points added together.Have you been declined coverage? NA YES NO Have any companies declined you coverage.Is Your License SUSPENDED? IsLicenseSuspended NO YES Getting Restored If Suspended You will need A Licensed Driver.Any AT-Fault Accidents last 36 months * NO 1 2 3 4 5 6 7 8 9 10 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 toLast Name? * First Name? * Vehicle #1 Year|Make|Model * Ford 2009 Mustang GT give as much information as possible. 4x4, se, dl, le etc. Enter VIN for most accurate quote.Vehicle #2 Make||Year|Model
Leave blank if no other vehicles Your County? * SelectNJCounty Atlantic County Bergen County Burlington County Camden County Cape May County Cumberland County Essex County Gloucester County Hudson County Hunterdon County Mercer County Middlesex County Monmouth County Morris County Ocean County Passaic County Salem County Somerset County Sussex County Union County Warren County Enter your NJ County of ResidenceTown Name/City? * Enter your NJ City of ResidenceMale or Female? * Male Female NJ PAIP Rates are gender basedDate Of Birth/Age * ex: 01/01/1964Marital Status * PleaseSelectStatus Single Married Divorced Widow/er Distance Driven- miles per day * MilesOneWay 1 2 3 4 5 6 7 8 9 10 More than 10 One Way mileage to work or school.Liability Limits needed * SelectLiabilityLimits 15/30,000 25/50,000 50/100,000 100/300,000 250/500,000 0-NO Liability-BASIC ONLY 10,000 BASIC POLCY ONLY Financed & Leased usually require $100/300Property Damage needed * SelectPropertyDamage $5,000 $10,000 $25,000 $50,000 $100,000 5,000 BASIC POLICY ONLY Financed & Leased usually require $50,000PIP Personal Injury Protection needed * SelectPIPCoverage $250,000 $150,000 $75,000 $50,000 $15,000 15,000 BASIC POLICY ONLY This covers medical expenses from auto accident etc. PIP Personal Injury Protection deductible * $250 $500 $1000 $2,000 $2,500 Your out of pocket deductibleAirbags? * DoesVehicleHaveAirbags No Airbags Yes 1 Airbag Yes 2 or more Airbags Physical Damage Comprehensive * SelectComprehensiveIfAny NO Liability Only Yes $500 deductible Yes $750 deductible Yes $1000 deductible Yes $1500 deductible Yes $2,000 deductible Full Coverage Comprehensive DeductibleCollision Coverage * SelectCollisionIfAny NO Liability Only Yes $500 deductible Yes $750 deductible Yes $1000 deductible Yes $1500 deductible Yes $2,000 deductible Full Coverage Collision DeductibleStreet Address? * Zip? * Your State? * NJ Quotes for New Jersey Residents Only.Are cars Leased/Financed/Paid Off? * SelectVehicleStatus Financed Leased Paid Off Leased/Financed usually require 100/300/50,000Is vehicle Registered to you? * Yes Registered to me No Registerd to someone else Registered to Lease Company Title is OK, Registration Expired Ok,How many licensed drivers in house: TOTAL # * HowManyDriversInHousehold 1 2 3 4 5 6 7 8 9 10 Please select the total number of licensed drivers in your household. When do you Need Coverage?WhenIsCoverageNeeded ASAP This Week Next Week This Month Next Month Later Have you Had a DUI/DWI last 3 years? DUIYesNo No Yes DUI-DWI is 9 Insurance PointsAdditional Information Other Drivers-Other Vehicles Please list other drivers that need to be covered here Age M/F D.O.B. points vehicle driven etc.Your Quote will be emailed. You may need to check bulk Email folder to find your quote