New Jersey Auto
Insurance Quote
Applicant Information

First Name:

Last Name:

Address:

City:


State: (New Jersey, CT, PA or NY)


Zip Code:

Daytime Phone:

Cell Phone:


Email:  (Required)


How Best To Contact You:


Currently Insured:



Auto Information

Auto Make:

Auto Model:

Auto Year:

Auto Body Type:

Auto Primary Use:

Auto Miles Driven Daily:



Pickup Truck Info (if applicable)
Does Truck Have a Cap:

If Yes, Value of Cap:
$


Ownership Information

Auto VIN#:

Garaged Zip Code:

Auto Lienholder:

Auto Lienholder Name:



Choose Coverage Limits

Liability Limits (x $1,000):

Property Damage Limit:

Uninsured Limits (x $1,000):

Medical Limit:



Choose Deductibles

Collision Deductible:

Comprehensive Deductible:



Choose Endorsements

Towing:

Rental Car:



Driver Information

Driver #1 Name:

Driver #1 Date of Birth:

Driver #1 Gender:

Driver #1 License#:


Driver #2 Name:

Driver #2 Date of Birth:

Driver #2 Gender:

Driver #2 License#:



Primary Driver Information

Occupation:

How Long Licensed:

Marital Status:


Social Security #:


Is your driving record accident
and violation free during the
past 5 years?

If No, how many accidents?

If No, how many violations?


Was your driver's license
suspended during the past 5 years?



Question or Message:



Click the "Submit Quote Request"
button below to send your New
Jersey Auto Insurance request to
W.R. McClure Insurance Services.


***By submitting this request you
acknowledge that this is neither
an offer to insure nor a guarantee
of insurance.***








We are a Flanders, NJ insurance
agency offering affordable New Jersey
auto insurance policy quotes
in the following towns and cities in the
Morris County, Warren County, Sussex
County, and Passaic County, New
Jersey area, as well as statewide:
Mount Olive, Budd Lake, Hackettstown,
Ledgewood, Succasunna, Naughright,
Chester, Mount Freedom, Randolph,
Wharton, Dover, Beatyestown, Port
Murray, Great Meadows, Netcong,
Mount Arlington, Hopatcong, Mount
Hope, Morristown, Rockaway, Morris
Plains, Mendham, Whippany, Parsippany,
Boonton, Hurdtown, Espanong, Greendell,
Pottersville, Bernardsville, Basking Ridge,
Mountainville, High Bridge, Bunnvale,
Hampton, Washington, Hope, Newark,
Trenton, Camden, Elizabeth, Jersey City,
Paterson, Hackensack, Cherry Hill,
Vineland, Millville, Toms River, Atlantic
City, Piscataway, Fort Lee, Orange,
Union City, Paramus, New Brunswick,
Bayonne, Hoboken, North Bergen,
Essex County, Middlesex County, Mercer
County, Hunterdon County, Bergen County,
Somerset County, Union County, Hudson
County, Gloucester County, Camden
County, Burlington County, Atlantic County,
Ocean County, Cumberland County,
Salem County, Monmouth County,
and Cape May County, NJ. We also offer
auto insurance quotes in
NY, PA, and CT.



W.R. McClure Insurance Services, Inc.
230 Route 206, Building 1 - Suite 8
Flanders, New Jersey 07836
Morris County, NJ
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973-584-5850
Since 1986!
W.R. McClure
Insurance Services