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   AUTO INSURANCE

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  AUTO  INSURANCE 

Auto insurance is important because it helps protect you financially if your vehicle is damaged or if someone gets hurt in an accident. Whether it’s a traffic collision, theft, or vandalism, our insurance covers the costs to repair your car or pay for medical expenses.

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This insurance also helps if you accidentally cause damage to someone else's car, injure another driver or passenger, or damage property. Instead of worrying about how to pay for these expenses, your insurance takes care of it, giving you peace of mind.

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We offer different coverage options to fit your needs, so you can choose the level of protection that’s right for you. With our auto insurance, you can drive with confidence, knowing you’re covered in case something unexpected happens.

  DISCOUNT AUTO  INSURANCE FORM 

Date Of Birth
Day
Month
Year
Gender
Male
Female
Has the Insured moved in the last 2 months
Yes
No
Are you Interested in Bundle discounts
Yes
No

Disclosure

Like most Insurance Companies, we use information from you and other sources, such as your driving, claims and credit histories, to calculate an accurate price for your insurance. New or updated information may be used to calculate your renewal premium. Its Privacy Policy explains how Progressive discloses and protects your personal information and how you may access and correct it. I can provide a copy at your request.

Do you agree to the above disclosure
Yes
No

Policy effective date requesting

Do you have prior Insurance
Yes
No

Vehicle information

Household members 16 years or older

Suffix
Marital Status
Date of Birth
Day
Month
Year
Gender
Male
Female

Coverage Requesting

Bodily Injury & Property Damage
State minimum
above
Uninsured/Underinsured Motorist bodily injury
Yes
No
Medical Payments
Yes
No
Comprehensive deductible
Collision deductible
Uninsured/Underinsured Property Damage
Yes
No
Rental Coverage
Yes
No
Roadside Assistance
Yes
No
Custom Parts & Equipment coverage
Yes
No
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