R.A. Fraser Agency : Bucks County, Doylestown, PA : Independent Insurance Agency

Auto Insurance

R. A Fraser Agency offers competitive rates for virtually any vehicles. From a family mini-van to an exotic car collection we can get you affordable protection. We can select coverages based on your individual needs.

We also represent carriers for 'special risk" such as DUI's, suspensions and unusual number of accidents. Even with a less-than-perfect driving record we will work to get you the best possible rate.

24 hour toll-free claims reporting
Flexible payment options
Great Service
Agreed Value

Discounts available:

Safe Drivers
Airbag/Passive Restraint
Anti-theft Devices
Good Student/Student away at school with vehicle
Driver Training
Multi-Car
Multi-Policy
Low-Mileage

Get a Free Quote! You have 2 options to receive a quote: either fill out our quote form for multiple rates and receive a response within 24 hours use this link to the right to receive an instant quote from Progressive, make sure you select contact an agent option so we can get back to you with additional quotes that are often even lower Your privacy is very important to us. Click here to read our policy. Your Personal Data

Your Name:
Street Address:
City:
State: (Must be Pennsylvania)
Zip Code:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):

Marital Status: Single Married	Homeowner? Yes No

Currently Insured? (If yes, list carrier, and # of years continuous. If none, type N/C)

DRIVER INFORMATION #1
Name:		Birthdate:
Sex (M/F):		# Years U.S. Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations, and approximate DATES of each in the fields below:
Number & Type of Accidents last 3 years:		Number & Type of MINOR Cites last 3 years:
Number & Type of MAJOR Cites last 3 years:		Daily commute in ONE WAY miles:
Does Driver need an SR22 FILING?	Yes No	If YES to SR22 filing, why needed? (list accident/cite)

DRIVER INFORMATION #2 (if none, leave blank)
Name:		Birthdate:
Sex:		# Years U.S. Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations in fields below:
Number & Type of Accidents last 3 years:		Number & Type of MINOR Cites last 3 years:
Number & Type of MAJOR Cites last 3 years:		Daily commute in ONE WAY miles:
Does Driver need an SR22 FILING?	Yes No	Comments or Remarks?
If More than 2 Drivers, list Additional Driver's Names, Birthdates, and driving record history here:

VEHICLE #1 INFORMATION (if "Non-Owners", type "NON-OWNER" in "YEAR" Field)
Year of vehicle:		Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage:		Used in business? (Explain, if yes):
VEHICLE #1 COVERAGES:
Limits of Liability:	$50/100 BI / 50 PD`$100/300 BI / 100 PD` $300,000 CSL $500,000 CSL

Comprehensive Coverage:	NO Coverage $250 Deductible $500 Deductible $1000 Deductible

Collision Coverage:	NO Coverage $250 Deductible $500 Deductible $1000 Deductible

Uninsured Motorists Coverage?	YES NO

Rental Car & Towing Coverage?	YES NO

Medical and/or PIP Coverage?	YES NO

VEHICLE #2 INFORMATION (if none, leave blank)
Year of vehicle:		Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage:		Used in business? (Explain, if yes):
VEHICLE #2 COVERAGES:
Limits of Liability:	$50/100 BI / 50 PD `$100/300 BI / 100 PD` $300,000 CSL $500,000 CSL

Comprehensive Coverage:	NO Coverage $250 Deductible $500 Deductible $1000 Deductible

Collision Coverage:	NO Coverage $250 Deductible $500 Deductible $1000 Deductible

Uninsured Motorists Coverage?	YES NO

Rental Car & Towing Coverage?	YES NO

Medical and/or PIP Coverage?	YES NO

Do You Want the "Limited Tort" option quoted? (Under the "Limited Tort' option, you & family members' right to seek financial compensation for injuries caused by other drivers are limited. You cannot sue for pain and suffering unless you sustain a serious or permanent injury, court defined as a "serious impairment of a bodily function".)	Full Tort Option (Under the "Full Tort" option, you maintain an unrestricted right for you and the members of your household to seek financial compensation for injuries caused by other drivers.) Limited Tort Option (Selection of the "Limited Tort" option will reduce your insurance premium but also reduce available benefits.)
If More than 2 Vehicles, list Additional Vehicles Year, Makes, and Models here:
Comments or Remarks: (List additional drivers, autos, etc. here)
Security Code:
Enter Code: *

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