Auto Insurance Quote

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State Fund Insurance Agency will provide you with an automobile insurance quote for Massachusetts residents. Please complete this quick and easy quote form with as much information as possible for the most accurate quote. This information will be kept confidential and will be used for quote purposes only.

We represent top rated Insurance Companies and We will shop or you. We will provide you with multiple quotes from multiple companies. * Required fields are in red.

Massachusetts Auto Insurance Quote

First Name

Last Name

Street Address

City

State: Zip

Daytime Phone

Cell/Other Phone

Email Address

Drivers License

Years Licensed

Date of Birth

Marital Status

Occupation

Where did you find us?

If Other,

Please Select Discounts that may apply to you.

Auto Club Member ...
Please enter Club ie. AAA
Driver is age 65 or older
Automobile has passive restraints
Low Annual Mileage
Automobile has anti-theft devices
You have multiple cars
New Drivers have Drivers Education
You use public transit
You have or need home insurance

Do you own or rent your home?

Auto Information
Do you currently have insurance?	If yes, please answer the following (if known)
Company Name
Policy Expiration Date:	Premium Amount: $

Vehicle Information - Car # 1
Year
Make	Make: Other:
Model
Name of Title Holder
Annual Mileage
Airbags	Car Alarm
Is the vehicle kept at a different address?	If yes, please enter Location City: State: Zip:

Vehicle Information - Car # 2
Year
Make:	Other:
Model
Name of Title Holder
Annual Mileage
Airbags	Car Alarm
Is the vehicle kept at a different address?	If yes, please enter Location City: State: Zip:

Liability Limits
Bodily Injury
Property Damage

Deductibles and Misc.
Car#	Comprehensive Deductible	Collision Deductible	Towing	Loss of Use
1			Yes	Yes
2			Yes	Yes

Driver Information for Driver 2
Driver Name
Drivers License #
State	Years Licensed
Date of Birth	Marital Status

Driver History
Please list any traffic violations or accidents* in the past 6 years*
Driver Name	Date	Type of Conviction

Has ANY driver had license suspensions
revocations or DUI convictions in the last 6 years?

Description:

Additional Comments

Please give any additional comments you feel appropriate for this quotation.

Please click on the "Submit Quote" button to send your quote request.
A State Fund Representative will respond to your submission.

Call (800) 241-1151