The Metropolitan Agency Serving the Tri-State Area:
New York - New Jersey - Connecticut
Call Us: (914) 275-1160 Call Us: (914) 275-1160
Fax: 845 227 3465

One Company, Endless Solutions

The Metropolitan Agency provides Personalized Insurance and Risk Management Solutions in the
New York Tri-State Area.

Quick Quote
The Metropolitan Agency The Metropolitan Agency
BBB - Accredited Business
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Homeowners Insurance Quote Request

Please take a moment to fill out the form below and one of our local insurance agents will contact you with a free, no-obligation quote. This information will be kept confidential and will be used for quote purposes only.

Personal Information     
Full Name: *
Middle name:
Date of Birth:
Gender: Male    Female
Marital Status :
Phone: *  
Best Time To Call:   AM   PM
E-mail Address: *

If living at current address less than two years, provide previous address
Street :

Current Homeowners Insurance Information
Company Name
(not agency):
Policy Expiration Date:           Years Insured:
Premium Amount: $
House Insured For: $
Purchase Price: $
Loan Amount: $

Dwelling Information
Type of Residence:
Primary Residence?: Yes   No
Square Footage:
Construction Type:
Year Building Built:
Number of Stories:
Heating Type:
Type of Roof:
Age of Roof::
Fire Sprinklers? Yes   No
Do You Have an Alarm System? Yes   No

Other Questions
Do you have any high value items?
(jewelry, silver, furs, fine arts)
Yes   No
Any claims in the past 5 years?
(If Yes, please explain in Additional Comments below)
Yes   No
Would you like to package your autos into an insurance quote? Yes   No

Coverage Information
Personal Contents Amount: $
Family Liability
Protection Amount:

Additional Comments or Questions

  Enter Security Code:

Please click the "Submit Quote Request" button to send your quote request. No coverage is in effect until bound by an insurance carrier. This is a request for quotation only.

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