Commercial Renewal Questionnaire

Please update the information below.

    Policy Information



    Business Information

    IndividualPartnershipCorporationLLC



    Property Policies







    Other Insurance

    Commercial Auto

    Workers Comp

    Group Medical

    Personal Auto

    Homeowners


    Privacy Notification

    Personal information about you may be collected from persons other than you. Such information as well as other personal and privileged information collected by us or our agents, may in certain circumstances, be disclosed to third parties. You have the right to review your personal information in our files and can request corrections of any inaccuracies. A more detailed description of your rights and our practices is available upon request.

    I have read and understood the above privacy notification. I have completed this form in its entirety and certify that the information I have provided is true to the best of my belief.


    Typing your name in above field confirms digital acknowledgment of signature.

    Our Difference

    • We shop multiple top-rated companies for you
    • We’ll explain coverage to you in a simple way
    • We have a 98% renewal rate
    • 86% of our clients are from referrals
    • We’re here when you need us

    Have a question about a new or existing policy?

    Just Ask!

    NOTICES:

    The John Hill Agency office is open for clients, pending direction from the NJ Government. Due to COVID, we have put into place a number of precautions for the safety of our staff and clients.

    Please note the following:
    -We are not accepting cash payments.
    -Whenever possible, we ask that you continue to do business remotely. If it is necessary to come in, please call ahead to set up an appointment.

    Thank you & stay safe!