I need help with
*
Personal Service Ins Basic NJ Car Insurance Quote
Personal Service Insurance Company offers
competitive rates for drivers with a few points.
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?
*
Example 2019989915 Multiple Numbers O.K. Day Number/s Are Best.
Email Address?
*
Email address where your quote will be sent.
Email Address Again
*
Verify Email address to send your quote to.
Your Last Name?
*
Your First Name?
*
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.
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 Residence
Town Name/City?
*
Enter your NJ City of Residence
Male or Female?
*
Male
Female
Rates are gender based
select Male or Female
Date Of Birth/Age
*
ex: 09/19/1974
Marital 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
0-NO Liability
10,000
Property Damage
needed
*
SelectPropertyDamage
$5,000
PIP Personal Injury
Protection needed
*
SelectPIPCoverage
$15,000
15,000
This covers medical expenses from auto accident etc.
PIP
Medical Personal Injury
Protection deductible *
$250
$500
$1000
$2000
$2500
Your out of pocket deductible
for medical claims.
Does
Vehicle Have Any Airbags?
*
DoesVehicleHaveAirbags
No Airbags
Yes 1 Airbag
Yes 2 or more Airbags
Your Street Address
*
Zip?
*
Your State?
*
NJ
Quotes for New Jersey Residents Only.
Are cars
Leased/Financed/Paid Off? *
SelectVehicleOwnership
Financed
Leased
Paid Off
Is vehicle Registered
to you?
*
Yes Registered to me
No registered 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 equal 9 Insurance Points
for 3 years from court 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.
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.***