NJPAIP New Jersey Car Insurance Consumer Quoting and Qualification Assistance.

South Jersey Consumer Help with New Jersey Car Insurance in the NJ assigned or NJ high risk market.
NJ PAIP- New Jersey Car insurance rates are set by the State Department of Banking and Insurance so you will not need to shop around to find the best deal.
You will need help from a NJPAIP Certified Producer. Simply fill out this form to begin. Once your quote request is processed your quote will be emailed to you along with further instructions. This is not an application for insurance. It is a request for a price quotation.

An insurance quote does not impact your credit score. Quote will take approximately 3-5 minutes to complete. We follow the highest industry standards to safeguard the confidentiality of your personal information and secure the transmission of your information from your computer. Please fill out this form as completely as possible to ensure an accurate quote.



Select Policy Type *
NJ PAIP Rates are set by the State Dept of Insurance. You wont have to shop around. Other company quotes may have other rating criteria
How Many Points DMV or Insurance Points do you have? *
NJ-MVC/NJ-DMV and or Insurance points added together.
Have you been declined coverage?
Have any companies declined you coverage.
Is Your License SUSPENDED?
If Suspended You will need A Licensed Driver.
Any AT-Fault Accidents last 36 months *
At Fault accidents are 5 insurance points each.
Phone #'s to reach you? *  
(111) 111-1111 Multiple numbers are OK.
Email Address/s? * Email where quote will be sent.
Email Address Again * Verify Email address to send quote to
Last Name? *  
First Name? *  
Vehicle #1 Year|Make|Model *  
2009 Chevrolet Impala LS give as much information as possible. 4x4, se, dl, le etc. For most accurate quotes include Vehicle ID Number (VIN)
Vehicle #2 Year|Make|Model
Leave blank if no other vehicles
Your County? *
Enter your NJ County of Residence
Town Name/City? *
Enter your NJ City of Residence
Male or Female? *
Rates are gender based
Date Of Birth/Age *
Example: 01/01/1972
Marital Status *
Distance Driven- miles per day *
One Way mileage to work or school.
Liability Limits needed *
Financed & Leased usually require $100/300
Property Damage needed *
Financed & Leased usually require $50,000
PIP Personal Injury Protection needed *
This covers medical expenses from auto accident etc.
PIP Personal Injury Protection deductible *
Your out of pocket deductible
Airbags? *
Physical Damage Comprehensive *
Full Coverage Comprehensive Deductible
Collision Coverage *
Full Coverage Collision Deductible
Street Address? *
Zip? *
Your State? *
Quotes for New Jersey Residents Only.
Are cars Leased/Financed/Paid Off? *
Leased Cars usually require 100/300/50,000.
Is vehicle Registered to you? *
How many licensed drivers in house: TOTAL # *
Please select the total number of licensed drivers in your household.
When do you Need Coverage?
Have you Had a DUI/DWI last 5 years?
DUI-DWI is 9 Insurance Points
Additional Information Other Drivers-Other Vehicles
Please list other drivers that need to be covered here Age M/F points vehicle driven etc.
Your Quote will be emailed. You may need to check bulk Email folder to find your quote

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