Insurance Quotes: Automobile


Homeowners, Mobile Home and Renter Quotes: Simply fill out the form below and we will process your web application for a free quote directly from Walter O. Rogers Insurance Agency LLC. If you have any problems, question or comments, please contact us at (607) 334-8924. We can handle any request you might have right over the phone.


Contact Information:
Full Name:	Address:
City, State Zip Code:	Email Address:
Property Location or Address:	City, State Zip Code of Property:
Home Telephone Number:	Business Telephone Number:

Select Home or Rental Insurance Type:
Homeowner Mobile Homeowner	Apt. or Home Renter Mobile Home Renter

Property Information:
Is Property Owner Occupied: Yes No	Total Acreage:
Name of Responding Fire Dept:
Distance to Fire Department*: Less Than 5 Miles More Than 5 Miles	Distance to Fire Hydrant*: Less Than 1000 feet More Than 1000 feet
1st Mortgagee:	2nd Mortgagee:
Any Dogs?: Yes No	What Breed of Dog(s):
Any Boats or ATV's?: Yes No	If Yes, What Kind of Boat or ATV?:
Any Other Owned Property?: Yes No	If yes, please enter Location:
Satellite Dish?: Yes No	If yes, Actual Cash Value of Dish?:
Value of Property's Contents:	Dwelling Replacement Cost:
Additions/ Buildings: Yes No	Value of Additions/ Buildings:
Assessed Value of Property:	Primary Heat Type (Electric, Gas, etc):
Supplemental Heat (Wood Stove, etc.): Yes No	If Yes, Heat Type (Wood Stove, etc.):

For Homeowners or Home/ Apartment Renters Only:
Number of Families:	Year Built:
Structure: Frame Masonry Other If Other, please describe:

For Mobile Homeowners or Mobile Home Renters Only:
Year:	Make:
Model:	Serial Number:
Skirting?: Yes No	Railings?: Yes No
Color of Mobile Home:	Size of Mobile Home: X
Outside Buildings: Yes No	Flat Roof: Yes No

By submitting this form, you verify that the information provided here is complete and truthful to the best of your knowledge. You also acknowledge that this system provides only a quote for services, and not the actual price based on a true insurance contract.

Advice: Check your quote form over thoroughly to ensure that you have answered all of the questions.

Note: Quotes provided are entirely based on the information you provide to our offices. Incomplete or false information will result in an inaccurate quote.

Duration: Most quotes are returned within two business days.

Contact Info:

E-mail:
• General Contact
• Walter O. Rogers
• Mark Rogers
• Elke Rogers
• Craig H. Rogers
• Kelly Small
• Karen Smith
• Joy Chensey
Location/ Phone:
26 Fair Street
Norwich, NY 13815
P: (607) 334-8924
F: (607) 334-2538

55 Christina Street
Little Ferry, NJ 07643
P: 201-641-2233