Information Request

If you would like more information from Community Insurance Group, please fill out the form below and indicate if you want to be contacted by phone, fax, mail or email. Once done, click on the Submit button and one of our staff will respond as soon as possible.

Customer Information
Your Name:
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Phone Number:	Fax Number:
Street Address:
City:	State: Zip Code:

Additional Comments

Preferred Contact Method

Please call, I would like to discuss my insurance needs.
Please fax me information as requested above.
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Please email me information as requested above.

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Important Note: This website provides only a simplified description of coverages and is not a statement of contract. Coverage may not apply in all states. For complete details of coverages, conditions, limits and losses not covered, be sure to read the policy, including all endorsements.

Community Insurance Group

139 Harristown Road, Suite 202
Glen Rock, New Jersey 07452

Phone:
Toll Free:
Fax:
Fax (NJ only):

201-444-4426
855-344-4426
201-444-0731
800-440-2267