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Established in 1972
2754 South Park Road · Bethel Park, PA 15102 · bfa@pghfamily.net


 
   

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Erie Insurance Get a Quote Online
Get an Erie Insurance
Auto Quote

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We are committed to keeping your auto rates as low as possible by keeping our overhead low and carefully evaluating all applicants.  We further reduce your rates by offering numerous discounts, which include:        
    
Multi-car Discount
Age 55 or Over Discount
Passive Restraints Discount
Anti-Theft Devices Discount
Anti-Lock Brakes Discount
Multi-Policy Discount (Not available in D.C.)
55 Alive Good Driver Incentive Discount
NEW PERC Discount of 3-9% for claims free customers.  It begins after you have been with Erie over 3 years and increases the longer your policy remains in force.
   
ERIE's Customer Incentive Program guarantees your auto rates will not be surcharged under the following circumstances:
  • First Accident Forgiveness Plan.  ERIE Insurance Group will not surcharge an auto policy written through our preferred plan in the event of a first "at-fault" accident.   (Waiting period applies in certain states.)
  • Feature 15.  After an auto policy has been in continuous force for fifteen consecutive years with ERIE Insurance Group, you never will be surcharged for an at-fault accident again.
 

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We realize that each policy sold is a promise of service; a promise we're prepared to keep.  That's why we use our own trained adjusters, whenever possible, insuring that your claim will be settled quickly and fairly by personnel who know our policy and understand our service philosophy.

It is because of this very commitment to the promise of service that ERIE Insurance Group continually receives distinguished marks for service from independent consumer organizations.  And it is what has earned ERIE Insurance Group its long-standing reputation for providing fast, fair and courteous claims service.

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Automobile Insurance On Line Request

Please fill out this on line form to receive a quote on automobile insurance from one of our professional agents.

Name:
Home Address:
City:
State:
Zip Code:
County:
Township:
Home Phone:
Work Phone:
E-Mail:
   
Current Insurance Company:
Expiration Date: (mm-dd-yy)
    
Coverage Information: Vehicle #1 Vehicle #2 Vehicle #3
Name:
Sex:
Marital Status:
Birth Date:
(mm-dd-yy)
Drivers License #:
# yrs. Licensed:
Occupation:
Drivers training:
     
Vehicle Information: Vehicle #1 Vehicle #2 Vehicle #3
Year:
Make:
Model:
VIN #
Primary Use:
(check one)
Pleasure
Work less than 6 miles one way
Work 6-10 miles one way
Work 11-15 miles one way
Work 16-20 miles one way
Work 21-30 miles one way
Work 31+ miles one way
Business use
Farm use
Pleasure
Work less than 6 miles one way
Work 6-10 miles one way
Work 11-15 miles one way
Work 16-20 miles one way
Work 21-30 miles one way
Work 31+ miles one way
Business use
Farm use
Pleasure
Work less than 6 miles one way
Work 6-10 miles one way
Work 11-15 miles one way
Work 16-20 miles one way
Work 21-30 miles one way
Work 31+ miles one way
Business use
Farm use
Annual mileage: 
Anti-theft devices: 
Airbags:
Anti-lock brakes:
Primary Driver: 
  

Current Coverage

Driver Information:

Driver #1 Driver #2 Driver #3
Tort  
Bodily Injury Liability
Amount:
Property Damage Liability Amount:
Medical Expense Limit:
Income Loss:
Funeral Benefits:
Accidental Death Benefits:
Uninsured Motorists Coverage:
Underinsured Motorists Coverage:
Comprehensive Deductible:
Collision Deductible:
Towing:
Rental Reimbursement:

Please answer the following with regards to all drivers in household:
(if yes please explain)

  1. Have you had any auto insurance refused, cancelled, or expired in the last 3 yrs?
     (Give date and reason)
  1. Have you received a ticket for speeding or any other vehicle code violation in the last 3 yrs?
    (Give date and reason)
  1. Had drivers license revoked or suspended in the last 3 yrs?
    (Give date and reason)
  1. Ever been arrested for any reason?
    (If so please explain)
  1. Had/Have a physical or mental impairment or disability or medical infirmity?
    (Please identify)
  1. Been involved in an accident or reported ANY claim to an insurance company in the last 3 yrs?
    (Give date and details)

Comments and Suggestions

**Disclaimer:  This information is for quotation purposes only and not an offer of coverage.  Actual coverage is not in effect until an application is signed by you and accepted by us.

Click to submit to:

  
   

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Copyright © 1999 Bill Flinn Insurance Agency.  All Rights Reserved
2754 South Park Road, Bethel Park, PA 15102
(412) 833-5351    
bfa@pghfamily.net