The Hoch Agency - Auto Insurance

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For some people, a car expresses the essence of their being. To others, it's an object to get from point A to point B. We offer a variety of coverages and companies to choose from, based on your specific needs.

Depending on the company you choose, you can get discounts for:

Being a Good Driver
Being a Good Student
Driving a Safe Car

Other advantages you could enjoy:

Free Windshield Repair
24-Hour Claims Hotline
Guarantee on Repairs
Flexible Payment Options

Advantages vary from company to company, and some require the purchase of certain coverages. We'll review your options with you to find the company and coverage that are right for you.

If you need automobile insurance for your business please go to the business section of our web site.

Auto Insurance Quote
To obtain a free, no-obligation quote for your car or other personal vehicle, fill out the form below and we will contact you. If you prefer to give information over the phone, fill out the highlighted areas only and we'll give you a call.

Name
Address
City	State Zip
Home Phone	Work Phone
Email (required)

Present Auto Insurance Company
Renewal Date
Own Home?	Yes No

Car#1
Year	Make	Model
	VIN#
2dr/4dr	Miles to Work (one way)	Annual Mileage

Car#2
Year	Make	Model
	VIN#
2dr/4dr	Miles to Work (one way)	Annual Mileage

Car#3
Year	Make	Model
	VIN#
2dr/4dr	Miles to Work (one way)	Annual Mileage

Driver #1 Information
Driver Name
Date of Birth
Drivers License Number
Social Security Number
Sex: Male Female
Marital Status
Moving Violations in Last 3 Years	0 1 2 3
Dates/Description
Accidents in Last 3 Years	0 1 2 3
Dates/Description
Major Violation Last 5yrs

Driver #2 Information
Driver Name
Date of Birth
Drivers License Number
Social Security Number
Sex: Male Female
Marital Status
Moving Violations in Last 3 Years	0 1 2 3
Dates/Description
Accidents in Last 3 Years	0 1 2 3
Dates/Description
Major Violation Last 5yrs

Driver #3 Information
Driver Name
Date of Birth
Drivers License Number
Social Security Number
Sex: Male Female
Marital Status
Moving Violations in Last 3 Years	0 1 2 3
Dates/Description
Accidents in Last 3 Years	0 1 2 3
Dates/Description
Major Violation Last 5yrs

Liability Limit for All Cars
Choose either Bodily Injury & Property Damage OR Single Limit
Bodily Injury	Property Damage	Single Limit choose one
25,000/50,000	25,000	60,000
50,000/100,000	50,000	100,000
100,000/300,000	100,000	300,000
250,000/500,000	500,000	500,000
>250,000/500,000	>500,000	>500,000

Car #1
Deductible Comprehensive	100	250	500
Deductible Collision	250	500	1000
Tow	Yes
Loss of Use	Yes

Car #2
Deductible Comprehensive	100	250	500
Deductible Collision	250	500	1000
Tow	Yes
Loss of Use	Yes

Car #3
Deductible Comprehensive	100	250	500
Deductible Collision	250	500	1000
Tow	Yes
Loss of Use	Yes

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