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Insurance Quote Details


from Bailey Place Insurance

Auto Insurance Quote Questions

Please complete the form so that we can provide you with accurate and competitive auto insurance quotes.

Are you the policy holder? 

Current Insurance

Do you have current insurance? 
$
$

Household Information

Driver Information

Include all drivers in your household, even if they do not drive your vehicles.
as appears on their driver's license
miles
Taken the NYS Defensive Driver course? 

Vehicle Information

Is this vehicle titled in a trust, partnership, corporation, or owned by two resident relatives other than husband and wife 
Vehicle have a loan? 
Vehicle Uses (check all that apply) 
Is this vehicle used for commuting to work? 
miles one-way
Do you own any other vehicles other than what you’ve listed above? 

Coverage Questions

Do you have a vehicle provided for your use through your employer or on a long-term lease?
Do you want comprehensive and collision coverage on any vehicle(s)? 
Do you want to carry Rental Reimbursement coverage on any vehicle? 
Do you have AAA for your vehicles? 
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