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Louis J. Albano
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Home
Insurance
Insurance
Get a Quote
Auto Fast Quoter
Home Fast Quoter
Types of Insurance
Automobile Insurance
Homeowner’s Insurance
Renter’s Insurance
Recreational Insurance
Business General Liability
Workman’s Compensation & Disability
Agents
Carl L. Albano
Anita L. Albano
Louis J. Albano
Andy J Zahran
Dealer Submission
Real Estate
Albano Buildings
Putnam County
Westchester County
Agents
Carl L. Albano
Anita L. Albano
Louis J. Albano
Andy J Zahran
Regina Aurisicchio
Rental Application
Our Office
Contact Us
Reviews
AUTOMOBILE FAST QUOTE
Please enable JavaScript in your browser to complete this form.
1
CONTACT
2
HISTORY
3
DRIVERS
4
VEHICLES
5
FINISH
Name as Listed on License
*
First
Middle
Last
Primary Named Insured on Policy
Phone
*
Email
*
Marital Status
*
Single
Married
Divorced
Seperated
Widowed
License Details
*
Take Picture or Upload License
Fill Out Details Manually
Add Driver's License (Front Only)
*
Click or drag a file to this area to upload.
Upload a photo of the front of your license to ensure all information is accurate.
Date of Birth
*
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Driver License ID #
*
Sex
*
Male
Female
X
License Type
Personal (Operator)
Commercial (CDL)
What is your currently license status?
*
Active
Suspended/Revoked
Is the address listed on your license your current physical address?
*
Yes
No
Current Physical Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Have you resided at your current physical address for less than 3 years?
*
Yes
No
Prior Physical Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you have a separate mailing address?
*
Yes
No
Mailing Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Next
Are you insured on an existing policy?
*
Yes
No
Not Sure
Check with your household members as this can bring you savings!
Have you been insured in the past?
*
Yes
No
What documents do you have?
*
Policy Declarations (Preferred)
Insurance ID Card
Both
None
Take Picture or Upload Insurance ID Card
*
Click or drag a file to this area to upload.
Please complete this step now to ensure a complete quote. Will provide us accurate dates, registered owners, current policy term and additional required details.
Take Picture or Upload Policy Declarations with Policy Coverages
*
Click or drag a file to this area to upload.
This will optional step help us to match up coverages and deductibles, giving you real comprable quotes at the best price.
Who was your prior insurance carrier?
When did your previous coverage lapse or end?
This can be found on older ID Cards or Policy Documents.
Who is your current auto insurance carrier?
*
Expiration date of current policy?
Expirtion Date can be found on your ID Cards and Policy Documents.
Number of traffic violations or accidents for all household members within the last 39 months?
Next
How many household drivers?
*
1
2
3
4
5+
Driver #2
Driver #2 - Name as Listed on License
*
First
Middle
Last
List as Second Named Insured? (Spouse or any other vehicle registrants should be listed as Co-Insured)
*
Yes, list them as the co-insured.
No, list them as a driver only.
Not sure, follow-up
Relationship to Insured
Spouse
Parent
Child
Other
#2 - Select One
*
Upload License
Fill Out Details Manually
Add Driver's License (Front Only)
*
Click or drag a file to this area to upload.
Upload a photo of the front of driver's license to ensure all information is accurate.
Date of Birth
*
MM
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1921
1920
Driver License ID #
*
Sex
*
M
F
X
Co-Insured's Phone
*
Co-Insured's Email
Driver #3
Driver #3 - Name as Listed on License
*
First
Middle
Last
#3 - Select One
*
Upload License
Fill Out Details Manually
Add Driver's License (Front Only)
*
Click or drag a file to this area to upload.
Upload a photo of the front of driver's license to ensure all information is accurate.
Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
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31
YYYY
2025
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2020
2019
2018
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2014
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1923
1922
1921
1920
Driver License ID #
*
Sex
*
M
F
X
Driver #4
Driver #4 - Name as Listed on License
*
First
Middle
Last
#4 Select One
*
Upload License
Fill Out Details Manually
Add Driver's License (Front Only)
*
Click or drag a file to this area to upload.
Upload a photo of the front of driver's license to ensure all information is accurate.
Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
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30
31
YYYY
2025
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2023
2022
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2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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2003
2002
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2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Driver License ID #
*
Sex
*
M
F
X
Next
VEHICLES
List vehicles you'd like to include. Please verify Vehicle Identification Number (VIN).
How many vehicles in total?
1
2
3
4
5+
Vehicle #1
#1 Vehicle (Year, Make, Model)
#1 Vehicle identification number (VIN)
Is this financed or leased?
Owned
Financed
Leased
Lienholder / Loss Payee
Mailing Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Vehicle #2
#2 Vehicle (Year Make Model)
#2 Vehicle identification number (VIN)
Is this vehicle financed or leased?
Owned
Financed
Leased
Lienholder / Loss Payee
Mailing Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Vehicle #3
#3 Vehicle (Year Make Model)
#3 Vehicle identification number (VIN)
Is this vehicle financed or leased?
Owned
Financed
Leased
Financing Information
Lienholder / Loss Payee
Mailing Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Vehicle #4
#4 Vehicle (Year Make Model)
#4 Vehicle identification number (VIN)
Is this vehicle financed or leased?
Owned
Financed
Leased
Financing Information
Lienholder / Loss Payee
Mailing Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Next
COVERAGES
To ensure the most accurate comparison, please provide a copy of your current policy declarations to confirm your existing coverages.
Bodily Injury Liability
50,000 / 100,000
100,000 / 300,000
250,000 / 500,000
300 CSL
500 CSL
Not Sure
Limits for injury claims coverage. Tap/Hover to learn more.
Bodily Injury Liability
Bodily Injury Liability limits determine how much your insurance will pay for injuries to other people if you are at fault in an accident. The figures represent the maximum amount paid per person and per accident for injuries, helping protect you from significant financial loss.
Property Damage Liability
50,000
75,000
100,000
150,000
Not Sure
Coverage for damage to others' property. Tap/Hover to learn more.
Property Damage Liability
Property Damage Liability insurance covers the cost of repairs or replacement for property you damage in an accident where you are at fault. This includes other vehicles, homes, fences, or any structures affected by the incident, ensuring you are financially protected from substantial damage claims.
Collision Deductible
$250
$500
$1000
$1500
$2000
No Coverage
Out-of-pocket cost for collision claims. Tap/Hover to learn more.
Collision Deductible
Collision Deductible is the amount you must pay out of pocket before your insurance covers the cost to repair or replace your vehicle after an accident. A higher deductible typically lowers your insurance premium, but it means you'll need to pay more upfront when filing a claim.
Comprehensive Deductible
$250
$500
$1000
$1500
$2000
No Coverage
Out-of-pocket cost for comprehensive claims. Tap/Hover to learn more.
Comprehensive Deductible
Comprehensive Deductible is the amount you pay before your insurance covers repairs or replacement of your vehicle for non-collision events, such as theft, vandalism, or natural disasters. Choosing a higher deductible can reduce your premium, but increases your out-of-pocket expense when a claim is made.
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