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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Workers' Compensation 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.

Sample List of Special Events:
Corporate Events, Company Meetings, Auto Shows, Concerts, Sporting Events, Proms, Dances, Dog Shows, Parades, Ethnic Celebrations, and Horse Shows.


General Information    
Name of Business:
Contact Name: *
Middle name:
Date of Birth:
Gender: Male    Female
Marital Status :
Tax ID Number:
Business Phone: *  
Best Time To Call:   AM   PM
Contact E-mail: *

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

Current Workers' Comp Insurance Information
Carrier Name:
Expiration Date:
    Premium Amount: $
NCCI Experience Modification:   If not sure, use "NA".
Years Insured:

About Your Business
Number of
How long
in business
How many
Estimated Annual
Payroll (Gross)
years $
Payroll Information (if known)    
Class Codes Employee Duties Annual Payroll $ Hourly Wage $
Please give a brief description of your business:

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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