For
an auto insurance quote in New Hampshire click
AUTO
INSURANCE
Auto insurance is the most widely purchased of all
property-liability insurance. Drivers buy auto insurance for economic protection against theft, vandalism,
and other risks, but many people are not familiar with what their policy covers.
WHY AND HOW ARE POLICIES PRICED FOR DIFFERENT DRIVERS?
For various reasons, drivers are
categorized by:
Gender--Young men have more accidents on the road than young
women.
Age--Most drivers under 30 are considered at higher risk of having an
accident.
Marital Status--Young married drivers tend to have fewer accidents
than young single drivers.
Personal Driving Record--Years of driving experience, accidents,
speeding tickets and drunk-driving offenses are all factors in determining how much risk
you pose as a motorist.
How you use your vehicle--If you commute by car during rush hours,
you’re at greater risk of having an accident than if you only drive for errands and
recreation on weekends. Drivers who use their own vehicles for business also are
considered at greater risk.
Type of vehicle--The value, size, weight, age of your vehicle--even
the cost of replacement parts--are essential to determining the price of your insurance.
Larger, heavier vehicles are considered at lower risk than smaller, lighter ones. Plus,
more expensive cars are costlier to have repaired than economy models.
Auto Discounts offered:
SAFE DRIVER
MULTI-CAR
ANTI-THEFT DEVICE
PREFERRED DRIVER
NON-SMOKER
PASSIVE RESTRAINT
AUTO/HOME
ANTI-LOCK BRAKES
RENEWAL CREDIT
Do you want to know
what Bodily Injury coverage is? Maybe you are unsure what medical
payments really covers? For answers to these and other coverage
questions go to our Types
of Coverage'spage.
Name:
Mailing Address:
Street Address:
Town: State: Zip:
Daytime Phone: Night
Time Phone:
Best Time to Call:
E-mail Address:
Current Information
Current Insurance Company:(enter
none, if no insurance currently)
Expiration date:
Premium: $
Term:
Driver
Information
First
Driver
Second Driver
Name:
Occupation:
Date
of Birth:
Marital
Status:
Relationship:
License #
State Licensed
Years
Driving:
Driver
Training:
Good
Student:
Convictions, past 5 years
Date:
Date:
Type of
conviction:
Convictions,
past 5 years
Date:
Date:
Type of
conviction:
Accidents in the past 5 years (regardless of fault)
DateDescription
Amount Paid
Injuries
At-fault
DateDescription
Amount
Paid
Injuries At-fault
License
suspended or revoked
Other
claims or losses
Vehicle
Information-
Vehicle #1
Year
Make
Model
VIN (vehicle identification #)
Use
of Vehicle
#
of miles one
way
#
of days per week
What Town/City?
Airbags
Anti-lok brakes
Car
Alarm
Coverage's
Bodily
Injury Property Damage Medical Payments
Comprehensive
deductible
Collision deductible
Towing
Rental Reimbursement
Vehicle
#2
Year
Make
Model
VIN
(vehicle identification #)
Use
of Vehicle
#
of miles
one way
#
of days per week
What Town/City?
Airbags
Anti-lok brakes
Car
Alarm
Coverage's
Bodily
Injury Property Damage Medical Payments
Comprehensive
deductible
Collision deductible
Towing
Rental Reimbursement
Vehicle
#3
Year
Make
Model
VIN (vehicle identification#)
Use
of Vehicle
#
of miles
one way
#
of days per week
What Town/City?
Airbags
Anti-lok brakes
Car
Alarm
Coverage's
Bodily
Injury Property Damage Medical Payments
Comprehensive
deductible
Collision deductible
Towing
Rental Reimbursement
Miscellaneous
information or comments? Please list any additional drivers or driver
informationor
any additional vehicleshere.
Are
you a homeowner?
Yes No
(most companies offer a discount if they write your auto and
homeowners.) If you wish a homeowners quote please complete our
homeowner quote form by clicking here.
How would you like to be contacted?
If other, please specify
The information you have provided is for quotation purposes only and will be
kept completely confidential. No coverage is bound and
the quote may be subject to additional underwriting criteria.
When completed, click on Submit Form ONE time and we will forward your
quote to you in the form you have requested. If you have any questions,
please feel free to contact us at 603-382-9211 or 800-295-9211
Any requests to add or change coverage
will only be bound when confirmation notice from our office has been sent back
to you either by phone, e-mail or mail.
Joseph S. Hills Agency, Inc.
