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Our Other Services
  • About Our Agency & Services
  • Policy Service Request
  • Our Privacy Notice
  •   Special CSE Homeowners Plans!
     
    Our agency specializes in California Home and Dwelling coverages! Look at these features, and then please, request a quote:

  • Extra Civil Servant Discounts
  • Identity Theft Coverage Included
  • Low CA Home and Dwelling Rates
  • Same Day Policy Issuance

    click for a free CA homeowners insurance quote

    REQUEST A FAST CALIFORNIA HOMEOWNERS INSURANCE QUOTE!
  •   CSE Auto Insurance Program
     
    With expanded liability limits, coverage plus enhancements, and large discounts, both the coverage AND the price of CSE Auto Insurance are hard to beat!

    We offer INSTANT telephone quotes, and FAST online California auto insurance quotes.

    click for a fast and free CA automobile insurance quotation

    REQUEST YOUR FAST CALIFORNIA AUTO INSURANCE QUOTE NOW!
     
    On-Line Automobile
    Insurance Quote Form
    One Simple Form - takes only 2-3 Minutes!


    Your Personal Data

    Your Name:
    Street Address:
    City:
    State: (Must be California)
    Zip Code:
    E-Mail (REQUIRED):
    E-Mail again for accuracy:
    Phone:
    Fax (optional):
    Primary Insured's Occupation:
    Are You a Civil Servant? YES NO
    Are You an Educator, Firefighter, or in Law Enforcement? YES NO
     
    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 violations last 3 years:
    Number & Type of MAJOR violations 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 violations last 3 years:
    Number & Type of MAJOR violations 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:
    Select Liability Limits
     
    Select Comprehensive Deductible:
     
    Select Collision 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:
    Select Liability Limits - - - Liability Limits Must
    Match Vehicle #1 - - -
     
    Select Comprehensive Deductible:
     
    Select Collision Deductible:
     
    Uninsured Motorists
    Coverage?
    YES NO
     
    Rental Car &
    Towing Coverage?
    YES NO
     
    Medical and/or
    PIP Coverage?
    YES NO
     
    Comments or Remarks:
    (List additional drivers, autos, etc. here)
    If More than 2 Vehicles or Drivers, list Additional Vehicles Year, Makes, and Models, and Driver's Ages and Driving records here:


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    Thank you for filling out this form COMPLETELY!

    We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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    CSE Insurance Agent.com (An Online Service of Alive Insurance Service) | Phone: 510-524-3200 | Fax: 510-524-0059
    6328 Fairmount Ave., Suite 230 | El Cerrito, CA 94530 | CA License#OE70937 | Email Us at: AliveInsurance@aol.com

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