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COMPANY A COMPANY B COMPANY C
$500 deductible _______ _______ _______
$1,000 deductible _______ _______ _______
More than 1 car _______ _______ _______
No Accidents
in 3 Years _______ _______ _______
No Moving Violations
in 3 Years _______ _______ _______
Drivers Over 50 Years
of Age _______ _______ _______
Driver Training Course _______ _______ _______
Anti-Theft Device _______ _______ _______
Low Annual Mileage _______ _______ _______
Automatic Seat Belt _______ _______ _______
Air Bag _______ _______ _______
Anti-Lock Brakes _______ _______ _______
Good Grades for
Students _______ _______ _______
Auto and Homeowners
Coverage with the
Same Company _______ _______ _______
College Students
Away From Home
Without a Car _______ _______ _______
OTHER DISCOUNTS:
_______________ _______ _______ _______
_______________ _______ _______ _______
_______________ _______ _______ _______
_______________ _______ _______ _______
YOU CAN REACH YOUR STATE INSURANCE DEPARTMENT AT:
AL: 205-269-3550
AK: 907-465-2515
AS: 684-633-4116
AZ: 602-255-5400
AR: 501-686-2900
CA: 800-927-4357
CO: 303-894-7499
CT: 203-297-3800
DE: 800-282-8611
DC: 202-727-8002
FL: 800-342-2762
GA: 404-656-2056
GU: 671-477-5144
HI: 800-468-4644
ID: 208-334-2250
IL: 217-782-4515
IN: 800-622-4461
IA: 515-281-5705
KS: 800-432-2484
KY: 502-564-3630
LA: 504-342-5900
ME: 207-582-8707
MD: 800-492-6116
MA: 617-727-3357
MI: 517-373-9273
MN: 800-652-9747
MS: 601-359-3569
MO: 314-751-2640
MT: 800-332-6148
NE: 402-471-2201
NV: 800-992-0900
NH: 800-852-3416
NJ: 609-292-5363
NM: 505-827-4500
NY: 212-602-0203
NC: 800-662-7777
ND: 800-247-0560
OH: 800-686-1526
OK: 405-521-2828
OR: 503-378-4271
PA: 717-787-5173
PR: 809-722-8686
RI: 401-277-2223
SC: 803-737-6117
SD: 605-773-3563
TN: 800-342-4029
TX: 512-463-6464
UT: 801-530-6400
VT: 802-828-3301
VI: 809-774-2991
VA: 800-552-7945
WA: 800-562-6900
WV: 800-642-9004
WI: 800-236-8517
WY: 307-777-7401
FOR MORE INFORMATION, CALL THE NATIONAL INSURANCE
CONSUMER HELPLINE (NICH) AT 1-800-942-4242
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