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MetLife Auto &. Metropolitan Group Property and Casualty Insurance Company (CA COA: 6393, ©. Auto Insurance Quote Request Thank you for your interest in MetLife Auto & Home, metlife. Please note that by submitting this form you are under no obligation. How Many Miles One Way, $ Paid Driver #2 Name: Date of Birth: Gender: M F Marital Status: Divorced Domestic Partnership Married Separated Single Widowed Please list all Tickets. Dual Single How is Vehicle Primarily Used, Home is a brand of Metropolitan Property and Casualty Insurance Company and its affiliates: Metropolitan Casualty Insurance Company, Yes No Does this Vehicle have Anti-Lock Brakes (ABS), $ Paid Driver #4 Name: Date of Birth: Gender: M F Marital Status: Divorced Domestic Partnership Married Separated Single Widowed Please list all Tickets, No coverage $1000 $2500 $5000 $10k $25k What is/was your uninsured/underinsured motorist coverage, Fax: (505) 994-9442 www, No coverage Full coverage-no deductible $50 $50 w/glass $100 $100 w/glass $200 $200 w/glass $250 $250 w/glass $300 $300 w/glass $500 $500 w/glass $1000 $1000 w/glass What is/was your collision deductible on this auto, and discounts are available in most states to those who qualify, RI), greater than $100k/$300k $100/$300k between $50k/$100k and $100k/$300k $50k/$100k between the state minimum and $50k/$100k state mimimum What is/was your medical payments to others coverage, Home, What is/was your comprehensive deductible on this auto. No coverage Full coverage-no deductible $50 $50 w/glass $100 $100 w/glass $200 $200 w/glass $250 $250 w/glass $300 $300 w/glass $500 $500 w/glass $1000 $1000 w/glass Vehicle #2 Information Vehicle Year: Vehicle Make: Vehicle Model: VIN# (if available): Does this Vehicle have an Alarm or Disabling System. Description, What is/was your comprehensive deductible on this auto, United Feature Syndicate, How Many Miles One Way, and the policy is not in effect until the coverage is bound, Warwick, RI. Description, How Many Miles One Way. Personal Use Only Business Use Commute To and From Work If Commute, No coverage $25k/$50k $50k/$100k $250k/$500k Do you have a AAA membership. Copyright ©. No coverage Full coverage-no deductible $50 $50 w/glass $100 $100 w/glass $200 $200 w/glass $250 $250 w/glass $300 $300 w/glass $500 $500 w/glass $1000 $1000 w/glass Vehicle #4 Information Vehicle Year: Vehicle Make: Vehicle Model: VIN# (if available): Does this Vehicle have an Alarm or Disabling System, $ Paid Driver #3 Name: Date of Birth: Gender: M F Marital Status: Divorced Domestic Partnership Married Separated Single Widowed Please list all Tickets, Yes No Does this Vehicle have Anti-Lock Brakes (ABS), 2007 MetLife Auto &, We respect your privacy, RI Anthony Catalanotto 6000 Uptown Blvd NE Suite 480 Albuquerque, riorancho, tcatalanotto@getmetagent, Yes No Does this Vehicle have an Air Bag, Yes No When does/did your policy expire, How Many Miles One Way. Personal Use Only Business Use Commute To and From Work If Commute.