Welcome To The Merritt Agency Website
ZIP Code
Licensed drivers in household 12345678
Cars in household (not including collector vehicles) 012345
How many drivers of the collector vehicle(s) are under the age of 30 not including applicant 012345
Moving violations in the last 3 years
Accidents in the last 3 years YesNo
Your Name
Address
Telephone #
Age
Your Email
CarTruckJeepSUVMotorcycleScooterTractorMilitaryFireTruck
Year
Make
Model
Sub Model
Body Type
Estimated value of the vehicle
StockModifiedReplica
How long have you owned the Vehicle
Is the vehicle stored in a garage/barn/pole building
Will this vehicle be undergoing restoration in the next 12 months that will increase its value? YesNo