267 New Dorp Lane, Second Floor, 10306 Staten Island,
Welsh Agency, Inc.
Call Us: (718) 351-6000

Auto Quotation

United States of America
Date of Birth:
Do You Presently Have Insurance?
Do You Own a House or Rent
Do You Have 6 Months Prior Insurance?
How many Drivers in the Household?
Are All Licensed over 3 Years?
Any Accidents or Violations in the Past 3 1/4 Years?
Did Any Licensed Drivers Take Defensive Driving?
Married or Single
Ages of All Licensed Drivers
Do You Have Any Children In The Household Who Have A License?
What Vehicles Are You Looking To Insure?
Vin Number
What Limits Are You Looking For?
Do You Need Comp & Collison
What Deductible?
If No Comp or Collision Do You Have Passive Restraints?
Are The Following In Your Vehicle?
How did you hear about us?