New York Insurance quotes from Corsitto Insurance Agency
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Welcome to
CorsittoAgency.com! low cost new york insurance from the Corsitto Agency
Located in downtown Seaford,
we are a family owned agency
proudly serving our clients
and our community for
over 50 years! We offer
complete insurance services
for all of your personal and
commercial needs.

  Why Corsitto?
"It's a Name You Can Trust!"

Corsitto Insurance is an Independent Agency, Dedicated to Serving YOU!
We represent several leading insurance companies rather than any single provider. Therefore, we have the ability to continually monitor the marketplace and offer you the best possible rates.

Our goal is to provide you the highest level of customer service and dedicate our resources to meet your needs and earn your trust. Our success is based on your continued satisfaction.

 
On-Line Automobile
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!
Your Personal Data

Your Name:
Street Address:
City:
State: (Must be New York)
Zip Code:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
 
Marital Status:
Single Married
Homeowner?
Yes No
 
Currently Insured?
(If yes, list carrier, and # of years
continuous. If none, type N/C)

DRIVER INFORMATION #1
Name: Birthdate:
Sex (M/F): # Years U.S.
 Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations, and approximate DATES of each in the fields below:
Number & Type of Accidents last 3 years: Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years: Daily commute
in ONE WAY miles:
Does Driver need
an SR22 FILING?		 Yes No If YES to SR22 filing, why needed?
(list accident/cite)

DRIVER INFORMATION #2 (if none, leave blank)
Name: Birthdate:
Sex: # Years U.S.
 Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations in fields below:
Number & Type of Accidents last 3 years: Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years: Daily commute
in ONE WAY miles:
Does Driver need
an SR22 FILING?		 Yes No Comments or
Remarks?
If More than 2 Drivers, list Additional Driver's Names, Birthdates, and driving record history here:

VEHICLE #1 INFORMATION
(if "Non-Owners", type "NON-OWNER" in "YEAR" Field)
Year of vehicle: Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage: Used in business?
(Explain, if yes):
VEHICLE #1 COVERAGES:
Select Liability Limits
 
Select Comprehensive Deductible:
 
Select Collision Deductible:
 
Uninsured Motorists
Coverage?		 YES NO
 
Rental Car &
Towing Coverage?		 YES NO
 
Medical and/or
PIP Coverage?		 YES NO
 
 
VEHICLE #2 INFORMATION (if none, leave blank)
Year of vehicle: Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage: Used in business?
(Explain, if yes):
VEHICLE #2 COVERAGES:
Select Liability Limits - - - Liability Limits Must
Match Vehicle #1 - - -
 
Select Comprehensive Deductible:
 
Select Collision Deductible:
 
Uninsured Motorists
Coverage?		 YES NO
 
Rental Car &
Towing Coverage?		 YES NO
 
Medical and/or
PIP Coverage?		 YES NO
 
Comments or Remarks:
(List additional drivers, autos, etc. here)
If More than 2 Vehicles or Drivers, list Additional Vehicles Year, Makes, and Models, and Driver's Ages and Driving records here:

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we are independent insurance agents in New York
Corsitto Insurance Agency
3900 Merrick Road | Seaford, NY 11783
Phone: 516-783-0400 | Fax: 516-783-0431
Contact Us
we are a trusted choice agency!

Corsitto Agency.com is an agency with highly qualified professionals committed to finding the best coverages and prices for
your New York Homeowners, Auto and Business insurance. We give instant New York Insurance quotes, and fast online homeowners, auto,
and business insurance quotes for all New York residents. Some of the keywords which can be used to find our services include:
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NY business insurance, business owners insurance, New York commercial insurance, New York insurance rates, NY discount insurance prices,
and other New York insurance Products. Please contact us for a free, no obligation New York Insurance Quote today!

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