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Info and tips for Rockland County living and driving.

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845-Insurance.com
39 Maple Ave.
New City, NY 10956
(845) 638-6200
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Snowmobile & ATV Insurance Quote Request

New York State requires auto insurance to be effective PRIOR to registering a vehicle. The minimum state insurance requirements are 25/50/10. ($25,000 in Liability per person up to 50,000 for any one accident with 10,000 for property damage.)

In addition, most lending companies will require 100/300/50 for leased or financed vehicles. They will also require Full Coverage. Full coverage includes comprehensive and collision, which covers your vehicle for physical damage.

Part I: Personal Information
Name
Address
City
State
Zip
Day Time Phone
Evening Phone
Email Address
Occupation
Type of Occupation
Date of Birth
Driver’s License Status
Years Licensed
Defensive Driver Class	Yes No
Accidents Last 5 years	Yes No
If yes, list approximate dates, at fault or not at fault, and if damage was over or under $1,000.
Traffic Violations Last 5 years	Yes No
If yes, list approximate dates and, type of violation (Speeding, Traffic Violation, DWI, Dricing with Suspended License, Hit and Run, Other)
Marital Status
Part II: Spouse's Information (If unmarried, skip to Part III)
Occupation
Type of Occupation
Date of Birth
Driver’s License Status
Years Licensed
Accidents Last 5 years	Yes No
If yes, list approximate dates, at fault or not at fault, and if damage was over or under $1,000.
Traffic Violations Last 5 years	Yes No
If yes, list approximate dates and, type of violation (Speeding, Traffic Violation, DWI, Dricing with Suspended License, Hit and Run, Other)
Part III: Vehicle Information
Currently Insured	Yes No
If no, are you listed as an operator on someone else's policy	Yes No
If yes, Current Company
Current Expiration Date
Liability Limits	25k/50k 50k/100k 100/k/300k 300k/300k
Number of Snow Mobiles
For Each snowmobile, list year, make, model , purchase price, Horsepower or Cubic Centimeters of Motor (please indicate HP or CC)
Physical Damage Deductible	NA 50 100
Preferred Contact Time
Comments…
You may be contacted to verify additional information. For everyone’s courtesy please only submit serious requests.