How to Contact Us:

Marlin Insurance Agency
1138 William Floyd Parkway
P.O. Box 434
Shirley, NY 11967-0434

Tel: (631) 281-6200
Fax: (631) 399-7905
Email: info@marlinagency.com

Commercial Insurance Quote Request

Please provide some basic information so we may begin to provide a rate quote.

We will contact you for any additional information that we need to complete your quote. Please note that fields with asterisks are required.


I. Please Identify Yourself

*Name:

*Company:

*Phone:

*Email:

Best Time to Contact:



II. Describe Your Business

Type of Firm:

Approx Sales:

No. Empl.:

Address:

City:

State:
Zip Code:

No. of Facilites:

Facility Ownership:

Total Sq. Ft.:



III. Describe Vehicles to be Insured

Please indicate the types of vehicles you have and the total number of each.


Total Vehicles:



IV. Coverages Desired

Check all that apply:


Specialized:

Specialized:



V. Comments





Get Started:
Homeowners Insurance
Auto Insurance
Commercial Insurance
Life Insurance

Current Clients:
General Policy Request
Claims Information

Useful Links:
F.E.M.A
www.fema.gov
NYS Insurance Dept.
www.ins.state.ny.us
NYS Dept. Motor Vehicles
www.nydmv.state.ny.us
Kelly Blue Book
www.kbb.com
Wedding Insurance
protectmywedding.com

DISCLAIMER
To our valued clients; please note that no new insurance coverage or existing policy endorsements may be bound with the use of this Web site. Please contact our Agency directly to complete those requests.