In addition to New Jersey
Flood Insurance, we also
offer affordable Homeowner
Insurance policy premiums
or choose another NJ family
insurance coverage from the
list below.
**Information received from this New Jersey Flood Insurance quote
request form sent to American Insurance Services Agency will be for our use only
and will not be sold, given to or distributed to any other parties. A quote will be based
on the flood insurance policy information provided and does not guarantee
acceptance of the risk by us. The precise coverage afforded is subject to meeting
underwriting guidelines, and the terms, conditions and exclusions of the policy as
issued. By submitting this request you acknowledge that this is neither an offer to
insure nor a guarantee of insurance. Completion of this form does not entitle you
to a New Jersey Flood Insurance Policy. We are licensed in New Jersey and
will not provide quotes for other states.
"Your Local New Jersey Flood Insurance Policy Specialist!"
We offer affordable flood insurance policy premiums to residents of the
following New Jersey counties and cities: Union County, Essex County, Bergen
County, Passaic County, Sussex County, Morris County, Warren County,
Hunterdon County, Somerset County, Middlesex County, Monmouth County,
Mercer County, Burlington County, Clark, Newark, Jersey City, Elizabeth, Rahway,
Colonia, Iselin, Avenel, Woodbridge, Port Reading, Carteret, Perth Amboy, Fords,
South Amboy, Metuchen, Plainfield, Dunellen, South Plainfield, Green Brook,
Fanwood, North Plainfield, Cranford, Scotch Plains, Westfield, Union, Millburn,
Springfield, Mountainside, Gillette, Warren, Watchung, Stirling, Millington,
Middlesex, Martinsville, Piscataway, Edison, New Brunswick, Highland Park, North
Brunswick, Sayreville, East Brunswick, Somerset, Milltown, South River, Bound
Brook, Somerville, Bridgewater, Bayonne, Linden, Roselle, Hoboken, Union City,
Weehawken, West New York, Guttenberg, Cliffside Park, Edgewater, North Bergen,
Secaucus, Fairview, Ridgefield, Fort Lee, Leonia, Palisades Park, Englewood Cliffs,
Englewood, Bergenfield, Teaneck, Paramus, Bogota, Ridgefield Park, Little Ferry,
Hackensack, Maywood, Teterboro, South Hackensack, Rochelle Park, Moonache,
Lodi, Hasbrouck Heights, Saddle Brook, Garfield, Elmwood Park, Woodridge,
Carlstadt, East Rutherford, Lyndhurst, Rutherford, Wallington, Passaic, Clifton,
Paterson, Totowa, West Paterson, Little Falls, Great Notch, North Caldwell, Cedar
Grove, Verona, Montclair, Bloomfield, West Orange, Glen Ridge, Belleville, Nutley,
Kingsland, North Arlington, Kearney, Harrison, East Orange, East Newark, Orange,
Irvington, South Orange, Hillside, Townley, Livingston, Wayne, Trenton, Camden,
Atlantic City, Princeton, Vineland, Willingboro, and Toms River, NJ.
Applicant Information:
New Jersey
Flood Insurance
Quote
New Jersey Insurance Agency
Do you have questions about
flood insurance?
We offer affordable Flood Insurance policy premiums throughout New Jersey!
Copyright 2004-2008 American Insurance Services Agency - All rights reserved
Personal Insurance
Quotes
Your Name:  
Address:       
City:     State:     Zip Code:
Daytime Phone:     Ext.
Evening Phone:     Fax:
(Email Address Required)
Flood Zone:
County:       



Building Occupancy:

Are you applying for this flood insurance policy on behalf of
the lender for the Mortgage Portfolio Protection Program?    

Condo Association and Residential Building?                        

Has property incurred 2 or more losses?                              

Is property granfathered into a B, C, or X Zone?                  

Select Policy Type:



Replacement Cost:           $
Total Building Coverage:  $
Total Contents Coverage: $

Building Type:       
Construction Date:  (mm/dd/yyyy)
Number of units in building:
Condominium Association:



Basement / Enclosure of Crawl Space:
Does enclosure or crawl space area have compliant venting:
Finished Area:
Machinery / Equipment:
Building Elevated:         
Lowest floor which includes living
area, is off the ground by means of:
Area used for:   
Square foot area:
Enclosure Walls:

Contents Location:

Miscellaneous Information:
Is building flood proofed:
Wave height adjustment:

Flood Insurance Question:


Click on the "Submit Information" button below to send
your New Jersey Flood Insurance quote request.**


Coverage Information
Basement / Enclosure or Crawl Space
American Insurance
Services Agency
1129 Raritan Road
Clark, New Jersey 07066
(732) 680-4444
Fax: (732) 680-4067
"We're Your New Jersey
Flood Insurance Agent"