Teen Driver Insurance - Port Jervis, NY


Rich Hugel Family Protection Advisor Johnson & Conroy Agency, Inc. NY, PA & NJ Call Today! 845.856.5341

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How Your Teen Can Become a Safer Driver

Are You Protected in Case Your Teen Causes a Serious Accident?

Do You Know if Your Teen is Driving Safely - ALL The Time?

Why You Should Get a 21 Point Protection Review

Are You Paying Too Much For Your Teen's Car Insurance?

Step One
Sign Up For VIP Access.
As a VIP, you will get exclusive access to our consumer reports that will explain the critical coverage needed for families with teen drivers, show you how you can make your teen a safer driver, and how to slash the high cost of insuring your teen driver.

Step Two
Call Our Office for a 21 Point Family Protection Review.
Families with teen drivers have special insurance needs. One of our Family Protection Specialists can review your coverage and help you get the right protection for your family.

Step Three
Let Us Help You Make Your Teen a Safer Driver.
We have many proven tools that can help you get peace of mind knowing your teen is driving safely. Our 16 Step Driving Course, GPS Teen Tracking System, Parent/ Teen Driving Contract and much more will help you prevent your teen from getting costly tickets and causing dangerous accidents.

Car Insurance Quote Form

On-Line Car Insurance Quote Form One Simple Form - takes only 2-3 Minutes! YOUR PERSONAL DATA
Your Name (required):
Street Address:
City:
State:
Zip Code:
E-Mail: (required)
Phone: (required)
Fax:

Marital Status: Single Married	Homeowner? Yes No

Currently Insured? (If yes, list carrier, and # of years continuous. If none, type N/C)

DRIVER INFORMATION #1
Name:		Birthdate:
Sex (M/F):		# Years U.S. Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations, and approximate DATES of each in the fields below:
Number & Type of Accidents last 3 years:		Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years:		Daily commute in ONE WAY miles:
Does Driver need an SR22 FILING?	Yes No	If YES to SR22 filing, why needed? (Only in applicable states) (list accident/cite)

DRIVER INFORMATION #2 (if none, leave blank)
Name:		Birthdate:
Sex (M/F):		# Years U.S. Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations in fields below:
Number & Type of Accidents last 3 years:		Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years:		Daily commute in ONE WAY miles:
If YES to SR22 filing, why needed? (Only in applicable states) (list accident/cite)	Yes No	Comments or Remarks?

DRIVER INFORMATION #3 (if none, leave blank)
Name:		Birthdate:
Sex (M/F):		# Years U.S. Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations in fields below:
Number & Type of Accidents last 3 years:		Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years:		Daily commute in ONE WAY miles:
If YES to SR22 filing, why needed? (Only in applicable states) (list accident/cite)	Yes No	Comments or Remarks?

DRIVER INFORMATION #4 (if none, leave blank)
Name:		Birthdate:
Sex (M/F):		# Years U.S. Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations in fields below:
Number & Type of Accidents last 3 years:		Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years:		Daily commute in ONE WAY miles:
If YES to SR22 filing, why needed? (Only in applicable states) (list accident/cite)	Yes No	Comments or Remarks?

VEHICLE #1 INFORMATION (if "Non-Owners", type "NON-OWNER" in "YEAR" Field)
Year of vehicle:		Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage:		Used in business? (Explain, if yes):

VEHICLE #1 COVERAGES:
Select Liability Limits:

Select Comprehensive Deductible:

Select Collision Deductible:

Uninsured Motorists Coverage?	YES NO

Rental Car & Towing Coverage?	YES NO

Medical and/or PIP Coverage?	YES NO

VEHICLE #2 INFORMATION (if none, leave blank)
Year of vehicle:		Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage:		Used in business? (Explain, if yes):

VEHICLE #2 COVERAGES:

Select Liability Limits	Liability Limits Must Match Vehicle #1

Select Comprehensive Deductible:

Select Collision Deductible:

Uninsured Motorists Coverage?	YES NO

Rental Car & Towing Coverage?	YES NO

Medical and/or PIP Coverage?	YES NO

VEHICLE #3 INFORMATION (if none, leave blank)
Year of vehicle:		Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage:		Used in business? (Explain, if yes):

VEHICLE #3 COVERAGES:

Select Liability Limits	Liability Limits Must Match Vehicle #1

Select Comprehensive Deductible:

Select Collision Deductible:

Uninsured Motorists Coverage?	YES NO

Rental Car & Towing Coverage?	YES NO

Medical and/or PIP Coverage?	YES NO

VEHICLE #4 INFORMATION (if none, leave blank)
Year of vehicle:		Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage:		Used in business? (Explain, if yes):

VEHICLE #4 COVERAGES:

Select Liability Limits	Liability Limits Must Match Vehicle #1

Select Comprehensive Deductible:

Select Collision Deductible:

Uninsured Motorists Coverage?	YES NO

Rental Car & Towing Coverage?	YES NO

Medical and/or PIP Coverage?	YES NO

Send my quotation via:

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The Hegler's Saved $1638!
"When my daughter started driving, our premiums shot through the roof. A friend told me to call you. I did and you saved me a bundle. Thanks!"