www.agentjose.com Open in urlscan Pro
34.69.219.172  Public Scan

Submitted URL: https://segurostatenisland.com/
Effective URL: https://www.agentjose.com/
Submission: On July 28 via automatic, source certstream-suspicious — Scanned from US

Form analysis 4 forms found in the DOM

#

<form id="quote-start-20bpp1y" action="#" class="w-full mt-4 grid gap-6 @2xl:grid-cols-3 @2xl:items-center @2xl:bg-sf-charcoal-100 @2xl:p-6 @2xl:mt-0 @5xl:gap-6 @5xl:p-8 @lg:grid-cols-2 @lg:gap-4"
  :class="!['zip', 'loc'].includes(type()) ? '@lg:grid-cols-1 gap-x-0 @lg:gap-y-4 @2xl:gap-x-4' : '@lg:grid-cols-2 @lg:gap-4'">
  <div :class="!['zip', 'loc'].includes(type()) ? '@2xl:col-span-2' : ''" class="">
    <!-- start partial: shared/components/ui/select-input-label.hbs -->
    <label for="gaq-product-20bpp1y"
      class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&amp;_select]:h-full [&amp;_select]:w-full [&amp;_select]:cursor-pointer [&amp;_select]:appearance-none [&amp;_select]:px-3 [&amp;_select]:transition-shadow [&amp;_select]:focus-within:outline-none [&amp;_select]:focus-within:ring [&amp;_select]:focus-within:ring-inset [&amp;_select]:focus-within:ring-sf-red-500 "
      :class="{}">
      <span class="absolute -top-4 left-0 text-xs font-semi">Select an Insurance Product</span>
      <div class="relative flex flex-row items-center w-full h-full">
        <select id="gaq-product-20bpp1y" name="field-auto" @change="selectProduct()" x-model="productKey" aria-controls="specific-location-info-20bpp1y" :aria-describedby="productSelected ? '' : describeErrorsID()" class="bg-white"
          aria-describedby="">
          <option value="" selected="" hidden="">Select Product</option>
          <template x-for="line in lineOptions">
            <option :value="line.key" x-text="line.label" :selected="line.key === productKey"></option>
          </template>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="auto">Auto</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="homeowners">Homeowners</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="condo">Condo Owners</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="renters">Renters</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="life">Life</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="hospital">Hospital Income</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="medicare">Medicare Supplement</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="pet">Pet Insurance</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="business">Small Business</option>
        </select>
        <div class="absolute right-4 pointer-events-none">
          <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
              <path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414" clip-rule="evenodd"></path>
            </svg></div>
        </div>
      </div>
    </label>
    <!-- end partial: shared/components/ui/select-input-label.hbs -->
  </div>
  <template x-if="['zip', 'loc'].includes(type())">
    <div id="specific-location-info-20bpp1y">
      <div x-show="type() === 'zip'" x-cloak="">
        <!-- start partial: shared/components/ui/text-input-label.hbs -->
        <div class="relative w-full " :class="{}">
          <input id="gaq-zip-20bpp1y" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
            :aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()">
          <label
            class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
            for="gaq-zip-20bpp1y"> ZIP Code </label>
        </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
      </div>
      <div x-show="type() === 'loc'" x-cloak="">
        <!-- start partial: shared/components/ui/select-input-label.hbs -->
        <label for="gaq-loc-20bpp1y"
          class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&amp;_select]:h-full [&amp;_select]:w-full [&amp;_select]:cursor-pointer [&amp;_select]:appearance-none [&amp;_select]:px-3 [&amp;_select]:transition-shadow [&amp;_select]:focus-within:outline-none [&amp;_select]:focus-within:ring [&amp;_select]:focus-within:ring-inset [&amp;_select]:focus-within:ring-sf-red-500 "
          :class="{}">
          <span class="absolute -top-4 left-0 text-xs font-semi">State Selection</span>
          <div class="relative flex flex-row items-center w-full h-full">
            <select id="gaq-loc-20bpp1y" class="bg-white" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()" :aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()">
              <option value="" selected="" hidden="">Your State</option>
              <option value="AL" :selected="'AL' === state">Alabama</option>
              <option value="AK" :selected="'AK' === state">Alaska</option>
              <option value="AZ" :selected="'AZ' === state">Arizona</option>
              <option value="AR" :selected="'AR' === state">Arkansas</option>
              <option value="CA" :selected="'CA' === state">California</option>
              <option value="CO" :selected="'CO' === state">Colorado</option>
              <option value="CT" :selected="'CT' === state">Connecticut</option>
              <option value="DE" :selected="'DE' === state">Delaware</option>
              <option value="FL" :selected="'FL' === state">Florida</option>
              <option value="GA" :selected="'GA' === state">Georgia</option>
              <option value="HI" :selected="'HI' === state">Hawaii</option>
              <option value="ID" :selected="'ID' === state">Idaho</option>
              <option value="IL" :selected="'IL' === state">Illinois</option>
              <option value="IN" :selected="'IN' === state">Indiana</option>
              <option value="IA" :selected="'IA' === state">Iowa</option>
              <option value="KS" :selected="'KS' === state">Kansas</option>
              <option value="KY" :selected="'KY' === state">Kentucky</option>
              <option value="LA" :selected="'LA' === state">Louisiana</option>
              <option value="ME" :selected="'ME' === state">Maine</option>
              <option value="MD" :selected="'MD' === state">Maryland</option>
              <option value="MA" :selected="'MA' === state">Massachusetts</option>
              <option value="MI" :selected="'MI' === state">Michigan</option>
              <option value="MN" :selected="'MN' === state">Minnesota</option>
              <option value="MS" :selected="'MS' === state">Mississippi</option>
              <option value="MO" :selected="'MO' === state">Missouri</option>
              <option value="MT" :selected="'MT' === state">Montana</option>
              <option value="NE" :selected="'NE' === state">Nebraska</option>
              <option value="NV" :selected="'NV' === state">Nevada</option>
              <option value="NH" :selected="'NH' === state">New Hampshire</option>
              <option value="NJ" :selected="'NJ' === state">New Jersey</option>
              <option value="NM" :selected="'NM' === state">New Mexico</option>
              <option value="NY" :selected="'NY' === state">New York</option>
              <option value="NC" :selected="'NC' === state">North Carolina</option>
              <option value="ND" :selected="'ND' === state">North Dakota</option>
              <option value="OH" :selected="'OH' === state">Ohio</option>
              <option value="OK" :selected="'OK' === state">Oklahoma</option>
              <option value="OR" :selected="'OR' === state">Oregon</option>
              <option value="PA" :selected="'PA' === state">Pennsylvania</option>
              <option value="RI" :selected="'RI' === state">Rhode Island</option>
              <option value="SC" :selected="'SC' === state">South Carolina</option>
              <option value="SD" :selected="'SD' === state">South Dakota</option>
              <option value="TN" :selected="'TN' === state">Tennessee</option>
              <option value="TX" :selected="'TX' === state">Texas</option>
              <option value="UT" :selected="'UT' === state">Utah</option>
              <option value="VT" :selected="'VT' === state">Vermont</option>
              <option value="VA" :selected="'VA' === state">Virginia</option>
              <option value="WA" :selected="'WA' === state">Washington</option>
              <option value="DC" :selected="'DC' === state">Washington, D.C.</option>
              <option value="WV" :selected="'WV' === state">West Virginia</option>
              <option value="WI" :selected="'WI' === state">Wisconsin</option>
              <option value="WY" :selected="'WY' === state">Wyoming</option>
            </select>
            <div class="absolute right-4 pointer-events-none">
              <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
                  <path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414" clip-rule="evenodd"></path>
                </svg></div>
            </div>
          </div>
        </label>
        <!-- end partial: shared/components/ui/select-input-label.hbs -->
      </div>
    </div>
  </template>
  <div id="specific-location-info-20bpp1y">
    <div x-show="type() === 'zip'">
      <!-- start partial: shared/components/ui/text-input-label.hbs -->
      <div class="relative w-full " :class="{}">
        <input id="gaq-zip-20bpp1y" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
          :aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
        <label
          class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
          for="gaq-zip-20bpp1y"> ZIP Code </label>
      </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
    </div>
    <div x-show="type() === 'loc'" style="display: none;">
      <!-- start partial: shared/components/ui/select-input-label.hbs -->
      <label for="gaq-loc-20bpp1y"
        class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&amp;_select]:h-full [&amp;_select]:w-full [&amp;_select]:cursor-pointer [&amp;_select]:appearance-none [&amp;_select]:px-3 [&amp;_select]:transition-shadow [&amp;_select]:focus-within:outline-none [&amp;_select]:focus-within:ring [&amp;_select]:focus-within:ring-inset [&amp;_select]:focus-within:ring-sf-red-500 "
        :class="{}">
        <span class="absolute -top-4 left-0 text-xs font-semi">State Selection</span>
        <div class="relative flex flex-row items-center w-full h-full">
          <select id="gaq-loc-20bpp1y" class="bg-white" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()" :aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()"
            aria-describedby="">
            <option value="" selected="" hidden="">Your State</option>
            <option value="AL" :selected="'AL' === state">Alabama</option>
            <option value="AK" :selected="'AK' === state">Alaska</option>
            <option value="AZ" :selected="'AZ' === state">Arizona</option>
            <option value="AR" :selected="'AR' === state">Arkansas</option>
            <option value="CA" :selected="'CA' === state">California</option>
            <option value="CO" :selected="'CO' === state">Colorado</option>
            <option value="CT" :selected="'CT' === state">Connecticut</option>
            <option value="DE" :selected="'DE' === state">Delaware</option>
            <option value="FL" :selected="'FL' === state">Florida</option>
            <option value="GA" :selected="'GA' === state">Georgia</option>
            <option value="HI" :selected="'HI' === state">Hawaii</option>
            <option value="ID" :selected="'ID' === state">Idaho</option>
            <option value="IL" :selected="'IL' === state">Illinois</option>
            <option value="IN" :selected="'IN' === state">Indiana</option>
            <option value="IA" :selected="'IA' === state">Iowa</option>
            <option value="KS" :selected="'KS' === state">Kansas</option>
            <option value="KY" :selected="'KY' === state">Kentucky</option>
            <option value="LA" :selected="'LA' === state">Louisiana</option>
            <option value="ME" :selected="'ME' === state">Maine</option>
            <option value="MD" :selected="'MD' === state">Maryland</option>
            <option value="MA" :selected="'MA' === state">Massachusetts</option>
            <option value="MI" :selected="'MI' === state">Michigan</option>
            <option value="MN" :selected="'MN' === state">Minnesota</option>
            <option value="MS" :selected="'MS' === state">Mississippi</option>
            <option value="MO" :selected="'MO' === state">Missouri</option>
            <option value="MT" :selected="'MT' === state">Montana</option>
            <option value="NE" :selected="'NE' === state">Nebraska</option>
            <option value="NV" :selected="'NV' === state">Nevada</option>
            <option value="NH" :selected="'NH' === state">New Hampshire</option>
            <option value="NJ" :selected="'NJ' === state">New Jersey</option>
            <option value="NM" :selected="'NM' === state">New Mexico</option>
            <option value="NY" :selected="'NY' === state">New York</option>
            <option value="NC" :selected="'NC' === state">North Carolina</option>
            <option value="ND" :selected="'ND' === state">North Dakota</option>
            <option value="OH" :selected="'OH' === state">Ohio</option>
            <option value="OK" :selected="'OK' === state">Oklahoma</option>
            <option value="OR" :selected="'OR' === state">Oregon</option>
            <option value="PA" :selected="'PA' === state">Pennsylvania</option>
            <option value="RI" :selected="'RI' === state">Rhode Island</option>
            <option value="SC" :selected="'SC' === state">South Carolina</option>
            <option value="SD" :selected="'SD' === state">South Dakota</option>
            <option value="TN" :selected="'TN' === state">Tennessee</option>
            <option value="TX" :selected="'TX' === state">Texas</option>
            <option value="UT" :selected="'UT' === state">Utah</option>
            <option value="VT" :selected="'VT' === state">Vermont</option>
            <option value="VA" :selected="'VA' === state">Virginia</option>
            <option value="WA" :selected="'WA' === state">Washington</option>
            <option value="DC" :selected="'DC' === state">Washington, D.C.</option>
            <option value="WV" :selected="'WV' === state">West Virginia</option>
            <option value="WI" :selected="'WI' === state">Wisconsin</option>
            <option value="WY" :selected="'WY' === state">Wyoming</option>
          </select>
          <div class="absolute right-4 pointer-events-none">
            <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
                <path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414" clip-rule="evenodd"></path>
              </svg></div>
          </div>
        </div>
      </label>
      <!-- end partial: shared/components/ui/select-input-label.hbs -->
    </div>
  </div>
  <div class="w-full @lg:col-span-2 @2xl:col-span-1">
    <button @click.stop.prevent="validate()" type="button" :disabled="submitting" class="btn btn-primary">
      <span x-show="productKey !== 'business'">Start a Quote</span>
      <span x-show="productKey === 'business'" style="display: none;">Request a Quote</span>
    </button>
  </div>
  <template x-if="errors.length > 0">
    <div role="alert" aria-atomic="true" :id="ariaDescribedByErrorsID">
      <template x-for="error in errors">
        <h3 class="p-3 border-2 font-med text-sf-red-700 bg-sf-red-100 border-sf-red-700 rounded-2xl" x-html="error"></h3>
      </template>
    </div>
  </template>
</form>

#

<form id="quote-start-purz4ns" action="#" class="w-full mt-4 grid gap-6 @2xl:grid-cols-3 @2xl:items-center @2xl:bg-sf-charcoal-100 @2xl:p-6 @2xl:mt-0 @5xl:gap-6 @5xl:p-8 @lg:grid-cols-2 @lg:gap-4"
  :class="!['zip', 'loc'].includes(type()) ? '@lg:grid-cols-1 gap-x-0 @lg:gap-y-4 @2xl:gap-x-4' : '@lg:grid-cols-2 @lg:gap-4'">
  <div :class="!['zip', 'loc'].includes(type()) ? '@2xl:col-span-2' : ''" class="">
    <!-- start partial: shared/components/ui/select-input-label.hbs -->
    <label for="gaq-product-purz4ns"
      class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&amp;_select]:h-full [&amp;_select]:w-full [&amp;_select]:cursor-pointer [&amp;_select]:appearance-none [&amp;_select]:px-3 [&amp;_select]:transition-shadow [&amp;_select]:focus-within:outline-none [&amp;_select]:focus-within:ring [&amp;_select]:focus-within:ring-inset [&amp;_select]:focus-within:ring-sf-red-500 "
      :class="{}">
      <span class="absolute -top-4 left-0 text-xs font-semi">Select an Insurance Product</span>
      <div class="relative flex flex-row items-center w-full h-full">
        <select id="gaq-product-purz4ns" name="field-auto" @change="selectProduct()" x-model="productKey" aria-controls="specific-location-info-purz4ns" :aria-describedby="productSelected ? '' : describeErrorsID()" class="bg-white"
          aria-describedby="">
          <option value="" selected="" hidden="">Select Product</option>
          <template x-for="line in lineOptions">
            <option :value="line.key" x-text="line.label" :selected="line.key === productKey"></option>
          </template>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="auto">Auto</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="homeowners">Homeowners</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="condo">Condo Owners</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="renters">Renters</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="life">Life</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="hospital">Hospital Income</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="medicare">Medicare Supplement</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="pet">Pet Insurance</option>
          <option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="business">Small Business</option>
        </select>
        <div class="absolute right-4 pointer-events-none">
          <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
              <path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414" clip-rule="evenodd"></path>
            </svg></div>
        </div>
      </div>
    </label>
    <!-- end partial: shared/components/ui/select-input-label.hbs -->
  </div>
  <template x-if="['zip', 'loc'].includes(type())">
    <div id="specific-location-info-purz4ns">
      <div x-show="type() === 'zip'" x-cloak="">
        <!-- start partial: shared/components/ui/text-input-label.hbs -->
        <div class="relative w-full " :class="{}">
          <input id="gaq-zip-purz4ns" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
            :aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()">
          <label
            class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
            for="gaq-zip-purz4ns"> ZIP Code </label>
        </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
      </div>
      <div x-show="type() === 'loc'" x-cloak="">
        <!-- start partial: shared/components/ui/select-input-label.hbs -->
        <label for="gaq-loc-purz4ns"
          class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&amp;_select]:h-full [&amp;_select]:w-full [&amp;_select]:cursor-pointer [&amp;_select]:appearance-none [&amp;_select]:px-3 [&amp;_select]:transition-shadow [&amp;_select]:focus-within:outline-none [&amp;_select]:focus-within:ring [&amp;_select]:focus-within:ring-inset [&amp;_select]:focus-within:ring-sf-red-500 "
          :class="{}">
          <span class="absolute -top-4 left-0 text-xs font-semi">State Selection</span>
          <div class="relative flex flex-row items-center w-full h-full">
            <select id="gaq-loc-purz4ns" class="bg-white" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()" :aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()">
              <option value="" selected="" hidden="">Your State</option>
              <option value="AL" :selected="'AL' === state">Alabama</option>
              <option value="AK" :selected="'AK' === state">Alaska</option>
              <option value="AZ" :selected="'AZ' === state">Arizona</option>
              <option value="AR" :selected="'AR' === state">Arkansas</option>
              <option value="CA" :selected="'CA' === state">California</option>
              <option value="CO" :selected="'CO' === state">Colorado</option>
              <option value="CT" :selected="'CT' === state">Connecticut</option>
              <option value="DE" :selected="'DE' === state">Delaware</option>
              <option value="FL" :selected="'FL' === state">Florida</option>
              <option value="GA" :selected="'GA' === state">Georgia</option>
              <option value="HI" :selected="'HI' === state">Hawaii</option>
              <option value="ID" :selected="'ID' === state">Idaho</option>
              <option value="IL" :selected="'IL' === state">Illinois</option>
              <option value="IN" :selected="'IN' === state">Indiana</option>
              <option value="IA" :selected="'IA' === state">Iowa</option>
              <option value="KS" :selected="'KS' === state">Kansas</option>
              <option value="KY" :selected="'KY' === state">Kentucky</option>
              <option value="LA" :selected="'LA' === state">Louisiana</option>
              <option value="ME" :selected="'ME' === state">Maine</option>
              <option value="MD" :selected="'MD' === state">Maryland</option>
              <option value="MA" :selected="'MA' === state">Massachusetts</option>
              <option value="MI" :selected="'MI' === state">Michigan</option>
              <option value="MN" :selected="'MN' === state">Minnesota</option>
              <option value="MS" :selected="'MS' === state">Mississippi</option>
              <option value="MO" :selected="'MO' === state">Missouri</option>
              <option value="MT" :selected="'MT' === state">Montana</option>
              <option value="NE" :selected="'NE' === state">Nebraska</option>
              <option value="NV" :selected="'NV' === state">Nevada</option>
              <option value="NH" :selected="'NH' === state">New Hampshire</option>
              <option value="NJ" :selected="'NJ' === state">New Jersey</option>
              <option value="NM" :selected="'NM' === state">New Mexico</option>
              <option value="NY" :selected="'NY' === state">New York</option>
              <option value="NC" :selected="'NC' === state">North Carolina</option>
              <option value="ND" :selected="'ND' === state">North Dakota</option>
              <option value="OH" :selected="'OH' === state">Ohio</option>
              <option value="OK" :selected="'OK' === state">Oklahoma</option>
              <option value="OR" :selected="'OR' === state">Oregon</option>
              <option value="PA" :selected="'PA' === state">Pennsylvania</option>
              <option value="RI" :selected="'RI' === state">Rhode Island</option>
              <option value="SC" :selected="'SC' === state">South Carolina</option>
              <option value="SD" :selected="'SD' === state">South Dakota</option>
              <option value="TN" :selected="'TN' === state">Tennessee</option>
              <option value="TX" :selected="'TX' === state">Texas</option>
              <option value="UT" :selected="'UT' === state">Utah</option>
              <option value="VT" :selected="'VT' === state">Vermont</option>
              <option value="VA" :selected="'VA' === state">Virginia</option>
              <option value="WA" :selected="'WA' === state">Washington</option>
              <option value="DC" :selected="'DC' === state">Washington, D.C.</option>
              <option value="WV" :selected="'WV' === state">West Virginia</option>
              <option value="WI" :selected="'WI' === state">Wisconsin</option>
              <option value="WY" :selected="'WY' === state">Wyoming</option>
            </select>
            <div class="absolute right-4 pointer-events-none">
              <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
                  <path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414" clip-rule="evenodd"></path>
                </svg></div>
            </div>
          </div>
        </label>
        <!-- end partial: shared/components/ui/select-input-label.hbs -->
      </div>
    </div>
  </template>
  <div id="specific-location-info-purz4ns">
    <div x-show="type() === 'zip'">
      <!-- start partial: shared/components/ui/text-input-label.hbs -->
      <div class="relative w-full " :class="{}">
        <input id="gaq-zip-purz4ns" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
          :aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
        <label
          class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
          for="gaq-zip-purz4ns"> ZIP Code </label>
      </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
    </div>
    <div x-show="type() === 'loc'" style="display: none;">
      <!-- start partial: shared/components/ui/select-input-label.hbs -->
      <label for="gaq-loc-purz4ns"
        class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&amp;_select]:h-full [&amp;_select]:w-full [&amp;_select]:cursor-pointer [&amp;_select]:appearance-none [&amp;_select]:px-3 [&amp;_select]:transition-shadow [&amp;_select]:focus-within:outline-none [&amp;_select]:focus-within:ring [&amp;_select]:focus-within:ring-inset [&amp;_select]:focus-within:ring-sf-red-500 "
        :class="{}">
        <span class="absolute -top-4 left-0 text-xs font-semi">State Selection</span>
        <div class="relative flex flex-row items-center w-full h-full">
          <select id="gaq-loc-purz4ns" class="bg-white" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()" :aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()"
            aria-describedby="">
            <option value="" selected="" hidden="">Your State</option>
            <option value="AL" :selected="'AL' === state">Alabama</option>
            <option value="AK" :selected="'AK' === state">Alaska</option>
            <option value="AZ" :selected="'AZ' === state">Arizona</option>
            <option value="AR" :selected="'AR' === state">Arkansas</option>
            <option value="CA" :selected="'CA' === state">California</option>
            <option value="CO" :selected="'CO' === state">Colorado</option>
            <option value="CT" :selected="'CT' === state">Connecticut</option>
            <option value="DE" :selected="'DE' === state">Delaware</option>
            <option value="FL" :selected="'FL' === state">Florida</option>
            <option value="GA" :selected="'GA' === state">Georgia</option>
            <option value="HI" :selected="'HI' === state">Hawaii</option>
            <option value="ID" :selected="'ID' === state">Idaho</option>
            <option value="IL" :selected="'IL' === state">Illinois</option>
            <option value="IN" :selected="'IN' === state">Indiana</option>
            <option value="IA" :selected="'IA' === state">Iowa</option>
            <option value="KS" :selected="'KS' === state">Kansas</option>
            <option value="KY" :selected="'KY' === state">Kentucky</option>
            <option value="LA" :selected="'LA' === state">Louisiana</option>
            <option value="ME" :selected="'ME' === state">Maine</option>
            <option value="MD" :selected="'MD' === state">Maryland</option>
            <option value="MA" :selected="'MA' === state">Massachusetts</option>
            <option value="MI" :selected="'MI' === state">Michigan</option>
            <option value="MN" :selected="'MN' === state">Minnesota</option>
            <option value="MS" :selected="'MS' === state">Mississippi</option>
            <option value="MO" :selected="'MO' === state">Missouri</option>
            <option value="MT" :selected="'MT' === state">Montana</option>
            <option value="NE" :selected="'NE' === state">Nebraska</option>
            <option value="NV" :selected="'NV' === state">Nevada</option>
            <option value="NH" :selected="'NH' === state">New Hampshire</option>
            <option value="NJ" :selected="'NJ' === state">New Jersey</option>
            <option value="NM" :selected="'NM' === state">New Mexico</option>
            <option value="NY" :selected="'NY' === state">New York</option>
            <option value="NC" :selected="'NC' === state">North Carolina</option>
            <option value="ND" :selected="'ND' === state">North Dakota</option>
            <option value="OH" :selected="'OH' === state">Ohio</option>
            <option value="OK" :selected="'OK' === state">Oklahoma</option>
            <option value="OR" :selected="'OR' === state">Oregon</option>
            <option value="PA" :selected="'PA' === state">Pennsylvania</option>
            <option value="RI" :selected="'RI' === state">Rhode Island</option>
            <option value="SC" :selected="'SC' === state">South Carolina</option>
            <option value="SD" :selected="'SD' === state">South Dakota</option>
            <option value="TN" :selected="'TN' === state">Tennessee</option>
            <option value="TX" :selected="'TX' === state">Texas</option>
            <option value="UT" :selected="'UT' === state">Utah</option>
            <option value="VT" :selected="'VT' === state">Vermont</option>
            <option value="VA" :selected="'VA' === state">Virginia</option>
            <option value="WA" :selected="'WA' === state">Washington</option>
            <option value="DC" :selected="'DC' === state">Washington, D.C.</option>
            <option value="WV" :selected="'WV' === state">West Virginia</option>
            <option value="WI" :selected="'WI' === state">Wisconsin</option>
            <option value="WY" :selected="'WY' === state">Wyoming</option>
          </select>
          <div class="absolute right-4 pointer-events-none">
            <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
                <path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414" clip-rule="evenodd"></path>
              </svg></div>
          </div>
        </div>
      </label>
      <!-- end partial: shared/components/ui/select-input-label.hbs -->
    </div>
  </div>
  <div class="w-full @lg:col-span-2 @2xl:col-span-1">
    <button @click.stop.prevent="validate()" type="button" :disabled="submitting" class="btn btn-primary">
      <span x-show="productKey !== 'business'">Start a Quote</span>
      <span x-show="productKey === 'business'" style="display: none;">Request a Quote</span>
    </button>
  </div>
  <template x-if="errors.length > 0">
    <div role="alert" aria-atomic="true" :id="ariaDescribedByErrorsID">
      <template x-for="error in errors">
        <h3 class="p-3 border-2 font-med text-sf-red-700 bg-sf-red-100 border-sf-red-700 rounded-2xl" x-html="error"></h3>
      </template>
    </div>
  </template>
</form>

POST

<form x-show="!sendResponse &amp;&amp; !sending" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers">
  <h2 x-show="true" class="hidden text-2xl font-med md:block"> You can also call us at <a :id="$id('phone-link-contact-form')" aria-label="You can also call us at (347) 644-5333" href="tel:3476445333" class="red-link">
                        (347) 644-5333
                    </a>
  </h2>
  <!-- start partial: shared/components/contact-forms/cf-more-prefs.hbs -->
  <div class="absolute -left-[9999px]">
    <div x-id="['preferred__url']">
      <label :for="$id('preferred__url')">preferred__url</label>
      <input :id="$id('preferred__url')" type="url" name="preferred__url" tabindex="-1" x-model="form.preferred__url" autocomplete="off">
    </div>
    <div x-id="['preferred__notes']">
      <label :for="$id('preferred__notes')">preferred__notes</label>
      <input :id="$id('preferred__notes')" type="text" name="preferred__notes" tabindex="-1" x-model="form.preferred__notes" autocomplete="off">
    </div>
    <div x-id="['preferred__topic']">
      <label :for="$id('preferred__topic')">preferred__topic</label>
      <input :id="$id('preferred__topic')" type="text" name="preferred__topic" tabindex="-1" x-model="form.preferred__topic" autocomplete="off">
    </div>
  </div><!-- end partial: shared/components/contact-forms/cf-more-prefs.hbs -->
  <h2 class="text-2xl text-center mb-4 font-med md:hidden"> Contact Us </h2>
  <div class="flex flex-col min-w-0 md:mt-8 md:flex-row">
    <div class="w-full md:w-1/2 md:shrink-0 md:mr-8 lg:w-2/3 xl:m-0">
      <div class="flex flex-col w-full xl:flex-row">
        <div class="flex flex-col xl:h-full xl:justify-between xl:w-1/2 xl:pr-8">
          <div class="hidden mt-4 xl:block">
            <!-- start partial: shared/components/contact-forms/cf-prefs.hbs -->
            <fieldset x-id="[
        'xl-contact-form-pref-email',
        'xl-contact-form-pref-phone',
        'xl-contact-form-pref',
    ]">
              <legend class="text-sm uppercase"> Your preferred method of contact </legend>
              <ul class="mt-2 flex flex-row">
                <li>
                  <input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref"
                    @change="clearPrefErrors()">
                  <label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
                </li>
                <li>
                  <input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref"
                    @change="clearPrefErrors()">
                  <label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
                </li>
              </ul>
            </fieldset><!-- end partial: shared/components/contact-forms/cf-prefs.hbs -->
          </div>
          <div class="xl:mt-6">
            <!-- start partial: shared/components/contact-forms/cf-contact-info.hbs -->
            <div class="flex flex-col w-full space-y-5" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
              <!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
              <!-- start partial: shared/components/ui/text-input-label.hbs -->
              <div class="relative w-full " :class="{}">
                <input :id="$id('contact-form-name')" class="m2-form-input peer " name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text" placeholder="Your Name" :aria-invalid="hasError('name')"
                  :aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()">
                <label
                  class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
                  :for="$id('contact-form-name')"> Your Name<span aria-hidden="true" x-show="hasError('name')">*</span>
                </label>
              </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
              <!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
              <!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
              <!-- start partial: shared/components/ui/text-input-label.hbs -->
              <div class="relative w-full " :class="{}">
                <input :id="$id('contact-form-phone')" class="m2-form-input peer " name="contact-form-phone" x-model="form.phone" :aria-required="hasError('phone') &amp;&amp; form.pref == 'phone'" autocomplete="tel" type="text"
                  placeholder="Your Phone" :aria-invalid="hasError('phone')" :aria-describedby="hasError('phone') ? $id('error', 'phone') : null" :error="hasError('phone')" @keydown.debounce.750ms="validatePhone()">
                <label
                  class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
                  :for="$id('contact-form-phone')"> Your Phone<span aria-hidden="true" x-show="hasError('phone')">*</span>
                </label>
              </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
              <!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
              <!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
              <!-- start partial: shared/components/ui/text-input-label.hbs -->
              <div class="relative w-full " :class="{}">
                <input :id="$id('contact-form-email')" class="m2-form-input peer " name="contact-form-email" x-model="form.email" :aria-required="hasError('email') &amp;&amp; form.pref == 'email'" autocomplete="email" type="text"
                  placeholder="Your Email" :aria-invalid="hasError('email')" :aria-describedby="hasError('email') ? $id('error', 'email') : null" :error="hasError('email')" @keydown.debounce.750ms="validateEmail()">
                <label
                  class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
                  :for="$id('contact-form-email')"> Your Email<span aria-hidden="true" x-show="hasError('email')">*</span>
                </label>
              </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
              <!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
            </div><!-- end partial: shared/components/contact-forms/cf-contact-info.hbs -->
          </div>
        </div>
        <div class="flex-col hidden xl:w-1/2 md:flex xl:flex-col-reverse xl:justify-end">
          <div class="h-full mt-5">
            <!-- start partial: shared/components/contact-forms/cf-message.hbs -->
            <div class="relative h-full" x-id="[
        'md-contact-form-message'
    ]">
              <!-- start partial: shared/components/ui/text-input-label.hbs -->
              <div class="relative w-full h-full" :class="{}">
                <textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 xl:h-full pa11y-ignore" placeholder="Your Message:" :maxlength="MAX_MESSAGE_LENGTH" :aria-invalid="hasError('message')"
                  :aria-describedby="`char-limit, md-message-warning ${hasError(&quot;message&quot;) ? $id(&quot;error&quot;, &quot;message&quot;) : &quot;&quot;}`" :aria-required="hasError('message')"
                  @keydown.debounce.750ms="validateMessage(), validateMessageLength()" @keydown.debounce.5ms="displayMessageLength()" :error="hasError('message')"></textarea>
                <p id="char-limit" class="flex justify-end" aria-live="polite" x-text="`${remainingCharacters}`"></p>
                <label
                  class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
                  :for="$id('md-contact-form-message')"> Your Message:<span aria-hidden="true" x-show="hasError('message')">*</span>
                </label>
              </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
            </div><!-- end partial: shared/components/contact-forms/cf-message.hbs -->
          </div>
          <div class="mt-4">
            <!-- start partial: shared/components/contact-forms/cf-message-warning.hbs -->
            <p class="text-xs" id="md-message-warning"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
            <!-- end partial: shared/components/contact-forms/cf-message-warning.hbs -->
          </div>
        </div>
      </div>
    </div>
    <div class="flex flex-col w-full md:w-1/2 lg:w-1/3 xl:justify-between xl:pl-8">
      <div class="mt-6 xl:hidden md:m-0">
        <!-- start partial: shared/components/contact-forms/cf-prefs.hbs -->
        <fieldset x-id="[
        'xl-contact-form-pref-email',
        'xl-contact-form-pref-phone',
        'xl-contact-form-pref',
    ]">
          <legend class="text-sm uppercase"> Your preferred method of contact </legend>
          <ul class="mt-2 flex flex-row">
            <li>
              <input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref" @change="clearPrefErrors()">
              <label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
            </li>
            <li>
              <input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref" @change="clearPrefErrors()">
              <label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
            </li>
          </ul>
        </fieldset><!-- end partial: shared/components/contact-forms/cf-prefs.hbs -->
      </div>
      <div class="flex w-full mt-4 xl:h-full">
        <!-- start partial: shared/components/contact-forms/cf-more-info.hbs -->
        <fieldset class="flex w-full flex-col" x-id="['contact-form-checkbox-input']">
          <legend class="mb-2 text-sm uppercase"> I'd like more info about: <span aria-hidden="true" x-show="hasError('message')"> * </span>
          </legend>
          <div class="grid sm:grid-flow-col sm:grid-cols-2 sm:grid-rows-3 md:grid-cols-1 md:grid-rows-6 xl:h-full">
            <template x-for="(i, k) in moreVals" :key="i.id">
              <div :id="$id(`contact-form-checkbox-${i.id}`)" class="m2-contact-form-checkbox">
                <input :id="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-input absolute h-0 w-0 overflow-hidden border-none p-0" x-model="form.more" type="checkbox"
                  :aria-describedby="hasError('message') ? $id('error', 'message') : null" :value="i.label" :aria-label="`${k + 1} of ${moreVals().length}, I'd like more info about ${i.label}`" :aria-invalid="hasError('more')"
                  @click="validateMessage()">
                <label :for="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-label flex cursor-pointer items-center rounded py-2 pl-8 transition-all hover:bg-sf-charcoal-100">
                  <svg viewBox="0 0 100 100" class="absolute left-1 h-4 w-4">
                    <path class="path" fill="none" stroke="#000" stroke-width="13" stroke-linecap="round" stroke-linejoin="round" stroke-miterlimit="10" d="M12.1 52.1l24.4 24.4 53-53"></path>
                  </svg>
                  <span class="text-sm" x-html="i.label"></span>
                </label>
              </div>
            </template>
          </div>
        </fieldset><!-- end partial: shared/components/contact-forms/cf-more-info.hbs -->
      </div>
      <div class="mt-4 text-xs md:hidden">
        <!-- start partial: shared/components/contact-forms/cf-message-warning.hbs -->
        <p class="text-xs" id="message-warning"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
        <!-- end partial: shared/components/contact-forms/cf-message-warning.hbs -->
      </div>
      <div class="mt-5 md:hidden">
        <!-- start partial: shared/components/contact-forms/cf-message.hbs -->
        <div class="relative h-full" x-id="[
        'contact-form-message'
    ]">
          <!-- start partial: shared/components/ui/text-input-label.hbs -->
          <div class="relative w-full h-full" :class="{}">
            <textarea :id="$id('contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48  pa11y-ignore" placeholder="Your Message:" :maxlength="MAX_MESSAGE_LENGTH" :aria-invalid="hasError('message')"
              :aria-describedby="`char-limit, message-warning ${hasError(&quot;message&quot;) ? $id(&quot;error&quot;, &quot;message&quot;) : &quot;&quot;}`" :aria-required="hasError('message')"
              @keydown.debounce.750ms="validateMessage(), validateMessageLength()" @keydown.debounce.5ms="displayMessageLength()" :error="hasError('message')"></textarea>
            <p id="char-limit" class="flex justify-end" aria-live="polite" x-text="`${remainingCharacters}`"></p>
            <label
              class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
              :for="$id('contact-form-message')"> Your Message:<span aria-hidden="true" x-show="hasError('message')">*</span>
            </label>
          </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
        </div><!-- end partial: shared/components/contact-forms/cf-message.hbs -->
      </div>
    </div>
  </div>
  <div class="flex flex-col w-full mt-4 pt-3 md:flex-row xl:justify-end">
    <div class="md:w-1/2 xl:w-1/3">
      <!-- start partial: shared/components/contact-forms/cf-file-input.hbs -->
      <div x-ref="contactFormAttachments" class="w-full" x-data="initFileInput()">
        <div x-show="$store.fileList.length" class="w-full mb-2 text-xl italic text-center border-b-2 border-gray-400 border-dashed" x-text="$store.fileList.length + ' attached file' + ($store.fileList.length > 1 ? 's:' : ':')">
        </div>
        <template x-for="(att, idx) in $store.fileList">
          <div :key="idx" class="relative my-2 grid w-full grid-cols-4 flex-nowrap bg-sf-charcoal-100 p-4">
            <div class="flex justify-center h-12 col-span-1 mr-4">
              <img x-show="checkType(att) === 'img'" :id="att.name" class="object-contain" :alt="att.name">
              <template x-if="checkType(att) != 'img'">
                <div x-html="svgIcon(checkType(att), &quot;h-full&quot;)" class="h-full">
                </div>
              </template>
            </div>
            <div class="flex flex-col justify-center col-span-3 mr-1">
              <div class="flex flex-row w-full mb-1">
                <span :aria-label="`This file is ${friendlySize(att.size)} in size`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 text-xs rounded-full w-max bg-sf-charcoal-200" x-html="friendlySize(att.size)"></span>
                <span :aria-label="`This file is a ${friendlyExtension(att.name)} file`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 ml-1 text-xs rounded-full w-max bg-sf-charcoal-200"
                  x-html="friendlyExtension(att.name)"></span>
              </div>
              <p class="text-sm truncate md:text-base" x-text="att.name">
              </p>
            </div>
            <a href="#" :title="`Cancel upload of ${att.name}`" @click.prevent="removeFile(idx)" class="absolute top-0 p-2 right-1">
                <span class="red-link whitespace-nowrap">
                    <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 12 14" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet"><path d="M8.57 8.43 7.429 9.571a.25.25 0 0 1-.359 0L6 8.501l-1.07 1.07a.25.25 0 0 1-.359 0L3.43 8.43a.25.25 0 0 1 0-.359l1.07-1.07-1.07-1.07a.25.25 0 0 1 0-.359l1.141-1.141a.25.25 0 0 1 .359 0L6 5.501l1.07-1.07a.25.25 0 0 1 .359 0L8.57 5.572a.25.25 0 0 1 0 .359L7.5 7.001l1.07 1.07a.25.25 0 0 1 0 .359M10.25 7c0-2.344-1.906-4.25-4.25-4.25S1.75 4.656 1.75 7 3.656 11.25 6 11.25 10.25 9.344 10.25 7M12 7A6 6 0 0 1 0 7a6 6 0 0 1 12 0"></path></svg></div>
                    Remove
                </span>
            </a>
          </div>
        </template>
        <div x-id="['m2-file-upload-input']">
          <label :for="$id(&quot;m2-file-upload-input&quot;)">
            <span role="button" class="text-lg btn btn-secondary" :aria-controls="$id(&quot;m2-file-upload-input&quot;)" tabindex="0" @keydown.enter="$refs['file-upload-input'].click()" @keydown.space="$refs['file-upload-input'].click()"
              x-text="`Add Attachments ${sizeRemainingMessage()}`">
            </span>
          </label>
          <input x-ref="file-upload-input" type="file" hidden="" :id="$id(&quot;m2-file-upload-input&quot;)" name="m2-cf-attachments" multiple="" :aria-disabled="tooManyBytes" :accept="acceptableFileTypes" @change="pickFiles($event.target.files)">
          <div class="mt-2 text-xs"> Please attach only <span x-text="readableExtensionList()"></span> file(s) — Unsupported file types will not be delivered to the agent. </div>
        </div>
      </div><!-- end partial: shared/components/contact-forms/cf-file-input.hbs -->
    </div>
    <div class="w-full mt-4 md:w-1/2 md:m-0 md:pl-8 xl:w-1/3">
      <!-- start partial: shared/components/contact-forms/cf-submit.hbs -->
      <button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button><!-- end partial: shared/components/contact-forms/cf-submit.hbs -->
    </div>
  </div>
  <!-- start partial: shared/components/contact-forms/cf-errors.hbs -->
  <div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700">
    <!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
    <!-- "Please forgive this" -->
    <h3 class="font-semi mb-2 text-xl"> Please correct the following: </h3>
    <ul class="list-inside list-disc">
      <template x-for="(message, key) in errors" :key="$id('error', key)">
        <li class="mb-1" :id="$id('error', key)" x-html="message"></li>
      </template>
    </ul>
  </div><!-- end partial: shared/components/contact-forms/cf-errors.hbs -->
  <div id="disclaimers">
    <div class="mt-4">
      <!-- start partial: shared/components/contact-forms/cf-disclaimer.hbs -->
      <p :id="$id('cf-disclaimer')" class="text-xs leading-3"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing
        purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you
        have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may
        apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. </p><!-- end partial: shared/components/contact-forms/cf-disclaimer.hbs -->
    </div>
    <p class="mt-2" x-show="!false">
      <!-- start partial: shared/components/contact-forms/cf-coverage-disclaimer.hbs -->
    </p>
    <p class="text-xs leading-3">
      <span class="font-bold"> Please note: </span> Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a licensed
      representative in the agent's office, or by contacting the State Farm toll-free customer service line at
      <span><a href="tel:8557337333" class="red-link" aria-label="Contact the State Farm toll-free customer service line at (855) 733-7333">(855) 733-7333</a>.</span>
    </p><!-- end partial: shared/components/contact-forms/cf-coverage-disclaimer.hbs -->
    <p></p>
  </div>
</form>

POST

<form x-show="!sendResponse &amp;&amp; !sending" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers">
  <h2 x-show="true" class="hidden text-2xl font-med md:block"> You can also call us at <a :id="$id('phone-link-contact-form')" aria-label="You can also call us at (347) 644-5333" href="tel:3476445333" class="red-link">
                        (347) 644-5333
                    </a>
  </h2>
  <!-- start partial: shared/components/contact-forms/cf-more-prefs.hbs -->
  <div class="absolute -left-[9999px]">
    <div x-id="['preferred__url']">
      <label :for="$id('preferred__url')">preferred__url</label>
      <input :id="$id('preferred__url')" type="url" name="preferred__url" tabindex="-1" x-model="form.preferred__url" autocomplete="off">
    </div>
    <div x-id="['preferred__notes']">
      <label :for="$id('preferred__notes')">preferred__notes</label>
      <input :id="$id('preferred__notes')" type="text" name="preferred__notes" tabindex="-1" x-model="form.preferred__notes" autocomplete="off">
    </div>
    <div x-id="['preferred__topic']">
      <label :for="$id('preferred__topic')">preferred__topic</label>
      <input :id="$id('preferred__topic')" type="text" name="preferred__topic" tabindex="-1" x-model="form.preferred__topic" autocomplete="off">
    </div>
  </div><!-- end partial: shared/components/contact-forms/cf-more-prefs.hbs -->
  <h2 class="text-2xl text-center mb-4 font-med md:hidden"> Contact Us </h2>
  <div class="flex flex-col min-w-0 md:mt-8 md:flex-row">
    <div class="w-full md:w-1/2 md:shrink-0 md:mr-8 lg:w-2/3 xl:m-0">
      <div class="flex flex-col w-full xl:flex-row">
        <div class="flex flex-col xl:h-full xl:justify-between xl:w-1/2 xl:pr-8">
          <div class="hidden mt-4 xl:block">
            <!-- start partial: shared/components/contact-forms/cf-prefs.hbs -->
            <fieldset x-id="[
        'xl-contact-form-pref-email',
        'xl-contact-form-pref-phone',
        'xl-contact-form-pref',
    ]">
              <legend class="text-sm uppercase"> Your preferred method of contact </legend>
              <ul class="mt-2 flex flex-row">
                <li>
                  <input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref"
                    @change="clearPrefErrors()">
                  <label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
                </li>
                <li>
                  <input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref"
                    @change="clearPrefErrors()">
                  <label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
                </li>
              </ul>
            </fieldset><!-- end partial: shared/components/contact-forms/cf-prefs.hbs -->
          </div>
          <div class="xl:mt-6">
            <!-- start partial: shared/components/contact-forms/cf-contact-info.hbs -->
            <div class="flex flex-col w-full space-y-5" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
              <!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
              <!-- start partial: shared/components/ui/text-input-label.hbs -->
              <div class="relative w-full " :class="{}">
                <input :id="$id('contact-form-name')" class="m2-form-input peer " name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text" placeholder="Your Name" :aria-invalid="hasError('name')"
                  :aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()">
                <label
                  class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
                  :for="$id('contact-form-name')"> Your Name<span aria-hidden="true" x-show="hasError('name')">*</span>
                </label>
              </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
              <!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
              <!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
              <!-- start partial: shared/components/ui/text-input-label.hbs -->
              <div class="relative w-full " :class="{}">
                <input :id="$id('contact-form-phone')" class="m2-form-input peer " name="contact-form-phone" x-model="form.phone" :aria-required="hasError('phone') &amp;&amp; form.pref == 'phone'" autocomplete="tel" type="text"
                  placeholder="Your Phone" :aria-invalid="hasError('phone')" :aria-describedby="hasError('phone') ? $id('error', 'phone') : null" :error="hasError('phone')" @keydown.debounce.750ms="validatePhone()">
                <label
                  class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
                  :for="$id('contact-form-phone')"> Your Phone<span aria-hidden="true" x-show="hasError('phone')">*</span>
                </label>
              </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
              <!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
              <!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
              <!-- start partial: shared/components/ui/text-input-label.hbs -->
              <div class="relative w-full " :class="{}">
                <input :id="$id('contact-form-email')" class="m2-form-input peer " name="contact-form-email" x-model="form.email" :aria-required="hasError('email') &amp;&amp; form.pref == 'email'" autocomplete="email" type="text"
                  placeholder="Your Email" :aria-invalid="hasError('email')" :aria-describedby="hasError('email') ? $id('error', 'email') : null" :error="hasError('email')" @keydown.debounce.750ms="validateEmail()">
                <label
                  class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
                  :for="$id('contact-form-email')"> Your Email<span aria-hidden="true" x-show="hasError('email')">*</span>
                </label>
              </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
              <!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
            </div><!-- end partial: shared/components/contact-forms/cf-contact-info.hbs -->
          </div>
        </div>
        <div class="flex-col hidden xl:w-1/2 md:flex xl:flex-col-reverse xl:justify-end">
          <div class="h-full mt-5">
            <!-- start partial: shared/components/contact-forms/cf-message.hbs -->
            <div class="relative h-full" x-id="[
        'md-contact-form-message'
    ]">
              <!-- start partial: shared/components/ui/text-input-label.hbs -->
              <div class="relative w-full h-full" :class="{}">
                <textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 xl:h-full pa11y-ignore" placeholder="Your Message:" :maxlength="MAX_MESSAGE_LENGTH" :aria-invalid="hasError('message')"
                  :aria-describedby="`char-limit, md-message-warning ${hasError(&quot;message&quot;) ? $id(&quot;error&quot;, &quot;message&quot;) : &quot;&quot;}`" :aria-required="hasError('message')"
                  @keydown.debounce.750ms="validateMessage(), validateMessageLength()" @keydown.debounce.5ms="displayMessageLength()" :error="hasError('message')"></textarea>
                <p id="char-limit" class="flex justify-end" aria-live="polite" x-text="`${remainingCharacters}`"></p>
                <label
                  class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
                  :for="$id('md-contact-form-message')"> Your Message:<span aria-hidden="true" x-show="hasError('message')">*</span>
                </label>
              </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
            </div><!-- end partial: shared/components/contact-forms/cf-message.hbs -->
          </div>
          <div class="mt-4">
            <!-- start partial: shared/components/contact-forms/cf-message-warning.hbs -->
            <p class="text-xs" id="md-message-warning"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
            <!-- end partial: shared/components/contact-forms/cf-message-warning.hbs -->
          </div>
        </div>
      </div>
    </div>
    <div class="flex flex-col w-full md:w-1/2 lg:w-1/3 xl:justify-between xl:pl-8">
      <div class="mt-6 xl:hidden md:m-0">
        <!-- start partial: shared/components/contact-forms/cf-prefs.hbs -->
        <fieldset x-id="[
        'xl-contact-form-pref-email',
        'xl-contact-form-pref-phone',
        'xl-contact-form-pref',
    ]">
          <legend class="text-sm uppercase"> Your preferred method of contact </legend>
          <ul class="mt-2 flex flex-row">
            <li>
              <input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref" @change="clearPrefErrors()">
              <label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
            </li>
            <li>
              <input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref" @change="clearPrefErrors()">
              <label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
            </li>
          </ul>
        </fieldset><!-- end partial: shared/components/contact-forms/cf-prefs.hbs -->
      </div>
      <div class="flex w-full mt-4 xl:h-full">
        <!-- start partial: shared/components/contact-forms/cf-more-info.hbs -->
        <fieldset class="flex w-full flex-col" x-id="['contact-form-checkbox-input']">
          <legend class="mb-2 text-sm uppercase"> I'd like more info about: <span aria-hidden="true" x-show="hasError('message')"> * </span>
          </legend>
          <div class="grid sm:grid-flow-col sm:grid-cols-2 sm:grid-rows-3 md:grid-cols-1 md:grid-rows-6 xl:h-full">
            <template x-for="(i, k) in moreVals" :key="i.id">
              <div :id="$id(`contact-form-checkbox-${i.id}`)" class="m2-contact-form-checkbox">
                <input :id="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-input absolute h-0 w-0 overflow-hidden border-none p-0" x-model="form.more" type="checkbox"
                  :aria-describedby="hasError('message') ? $id('error', 'message') : null" :value="i.label" :aria-label="`${k + 1} of ${moreVals().length}, I'd like more info about ${i.label}`" :aria-invalid="hasError('more')"
                  @click="validateMessage()">
                <label :for="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-label flex cursor-pointer items-center rounded py-2 pl-8 transition-all hover:bg-sf-charcoal-100">
                  <svg viewBox="0 0 100 100" class="absolute left-1 h-4 w-4">
                    <path class="path" fill="none" stroke="#000" stroke-width="13" stroke-linecap="round" stroke-linejoin="round" stroke-miterlimit="10" d="M12.1 52.1l24.4 24.4 53-53"></path>
                  </svg>
                  <span class="text-sm" x-html="i.label"></span>
                </label>
              </div>
            </template>
          </div>
        </fieldset><!-- end partial: shared/components/contact-forms/cf-more-info.hbs -->
      </div>
      <div class="mt-4 text-xs md:hidden">
        <!-- start partial: shared/components/contact-forms/cf-message-warning.hbs -->
        <p class="text-xs" id="message-warning"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
        <!-- end partial: shared/components/contact-forms/cf-message-warning.hbs -->
      </div>
      <div class="mt-5 md:hidden">
        <!-- start partial: shared/components/contact-forms/cf-message.hbs -->
        <div class="relative h-full" x-id="[
        'contact-form-message'
    ]">
          <!-- start partial: shared/components/ui/text-input-label.hbs -->
          <div class="relative w-full h-full" :class="{}">
            <textarea :id="$id('contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48  pa11y-ignore" placeholder="Your Message:" :maxlength="MAX_MESSAGE_LENGTH" :aria-invalid="hasError('message')"
              :aria-describedby="`char-limit, message-warning ${hasError(&quot;message&quot;) ? $id(&quot;error&quot;, &quot;message&quot;) : &quot;&quot;}`" :aria-required="hasError('message')"
              @keydown.debounce.750ms="validateMessage(), validateMessageLength()" @keydown.debounce.5ms="displayMessageLength()" :error="hasError('message')"></textarea>
            <p id="char-limit" class="flex justify-end" aria-live="polite" x-text="`${remainingCharacters}`"></p>
            <label
              class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
              :for="$id('contact-form-message')"> Your Message:<span aria-hidden="true" x-show="hasError('message')">*</span>
            </label>
          </div><!-- end partial: shared/components/ui/text-input-label.hbs -->
        </div><!-- end partial: shared/components/contact-forms/cf-message.hbs -->
      </div>
    </div>
  </div>
  <div class="flex flex-col w-full mt-4 pt-3 md:flex-row xl:justify-end">
    <div class="md:w-1/2 xl:w-1/3">
      <!-- start partial: shared/components/contact-forms/cf-file-input.hbs -->
      <div x-ref="contactFormAttachments" class="w-full" x-data="initFileInput()">
        <div x-show="$store.fileList.length" class="w-full mb-2 text-xl italic text-center border-b-2 border-gray-400 border-dashed" x-text="$store.fileList.length + ' attached file' + ($store.fileList.length > 1 ? 's:' : ':')">
        </div>
        <template x-for="(att, idx) in $store.fileList">
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                <span class="red-link whitespace-nowrap">
                    <div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 12 14" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet"><path d="M8.57 8.43 7.429 9.571a.25.25 0 0 1-.359 0L6 8.501l-1.07 1.07a.25.25 0 0 1-.359 0L3.43 8.43a.25.25 0 0 1 0-.359l1.07-1.07-1.07-1.07a.25.25 0 0 1 0-.359l1.141-1.141a.25.25 0 0 1 .359 0L6 5.501l1.07-1.07a.25.25 0 0 1 .359 0L8.57 5.572a.25.25 0 0 1 0 .359L7.5 7.001l1.07 1.07a.25.25 0 0 1 0 .359M10.25 7c0-2.344-1.906-4.25-4.25-4.25S1.75 4.656 1.75 7 3.656 11.25 6 11.25 10.25 9.344 10.25 7M12 7A6 6 0 0 1 0 7a6 6 0 0 1 12 0"></path></svg></div>
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          <label :for="$id(&quot;m2-file-upload-input&quot;)">
            <span role="button" class="text-lg btn btn-secondary" :aria-controls="$id(&quot;m2-file-upload-input&quot;)" tabindex="0" @keydown.enter="$refs['file-upload-input'].click()" @keydown.space="$refs['file-upload-input'].click()"
              x-text="`Add Attachments ${sizeRemainingMessage()}`">
            </span>
          </label>
          <input x-ref="file-upload-input" type="file" hidden="" :id="$id(&quot;m2-file-upload-input&quot;)" name="m2-cf-attachments" multiple="" :aria-disabled="tooManyBytes" :accept="acceptableFileTypes" @change="pickFiles($event.target.files)">
          <div class="mt-2 text-xs"> Please attach only <span x-text="readableExtensionList()"></span> file(s) — Unsupported file types will not be delivered to the agent. </div>
        </div>
      </div><!-- end partial: shared/components/contact-forms/cf-file-input.hbs -->
    </div>
    <div class="w-full mt-4 md:w-1/2 md:m-0 md:pl-8 xl:w-1/3">
      <!-- start partial: shared/components/contact-forms/cf-submit.hbs -->
      <button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button><!-- end partial: shared/components/contact-forms/cf-submit.hbs -->
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  </div>
  <!-- start partial: shared/components/contact-forms/cf-errors.hbs -->
  <div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700">
    <!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
    <!-- "Please forgive this" -->
    <h3 class="font-semi mb-2 text-xl"> Please correct the following: </h3>
    <ul class="list-inside list-disc">
      <template x-for="(message, key) in errors" :key="$id('error', key)">
        <li class="mb-1" :id="$id('error', key)" x-html="message"></li>
      </template>
    </ul>
  </div><!-- end partial: shared/components/contact-forms/cf-errors.hbs -->
  <div id="disclaimers">
    <div class="mt-4">
      <!-- start partial: shared/components/contact-forms/cf-disclaimer.hbs -->
      <p :id="$id('cf-disclaimer')" class="text-xs leading-3"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing
        purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you
        have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may
        apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. </p><!-- end partial: shared/components/contact-forms/cf-disclaimer.hbs -->
    </div>
    <p class="mt-2" x-show="!false">
      <!-- start partial: shared/components/contact-forms/cf-coverage-disclaimer.hbs -->
    </p>
    <p class="text-xs leading-3">
      <span class="font-bold"> Please note: </span> Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a licensed
      representative in the agent's office, or by contacting the State Farm toll-free customer service line at
      <span><a href="tel:8557337333" class="red-link" aria-label="Contact the State Farm toll-free customer service line at (855) 733-7333">(855) 733-7333</a>.</span>
    </p><!-- end partial: shared/components/contact-forms/cf-coverage-disclaimer.hbs -->
    <p></p>
  </div>
</form>

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State Farm® Insurance Agent


JOSE RIVERA


5 out of 5 average rating on Google (1366 reviews)
(347) 644-5333
169-22 Jamaica Avenue
Jamaica, NY 11432-5218

One Minute from the Jamaica DMV and next door to Bellitte Bike Shop!


Contact Us

Contact Us

Text Us

Map & Directions

Get ID Card


ABOUT ME

Thank you for choosing our agency for all of your insurance and financial
service needs. Our knowledgeable and friendly representatives are here to assist
you with any questions or concerns you may have.

ALL OF OUR QUOTES ARE FREE! FOR A PERSONALIZED QUOTE PLEASE CALL US OR VISIT US
IN PERSON TO MEET WITH OUR AWARD-WINNING TEAM.

HERE TO HELP YOU WITH YOUR PERSONAL PRICE PLAN IN NEW YORK, NEW JERSEY,
PENNSYLVANIA, CONNECTICUT AND VERMONT.

WE CARE ABOUT PROTECTING YOUR FAMILY. PLEASE CONTACT US TO SCHEDULE A FREE LIFE
INSURANCE REVIEW.

Our State Farm Agency has been open since November 2018! Agent Jose Rivera has
10 years of State Farm Insurance experience. Our agency offers FREE Insurance
and Financial Reviews in person at our Queens, NY location or over the phone by
one of five licensed team members. - FREE NOTARY PUBLIC - We service the entire
New York State! Our team speaks English & Spanish. Give us a call to see if we
can save you money today!

We are proud be acknowledged as a leader in the insurance industry for
delivering outstanding service to our communities of Jamaica, Queens, New York
State, New Jersey, Connecticut and Pennsylvania.

About our Agent: Jose Rivera is a 1st Generation College graduate having
attended Binghamton University. A proud Hermano of La Unidad Latina, Lambda
Upsilon Lambda Fraternity, Inc Jose is always looking to get involved with the
community and help guide the future leaders, our youth. I love being a State
Farm Agent! Jose comes with five years of experience at Agent Hielly Martinez
office in The Bronx and is now looking forward to creating future State Farm
Agents from his own office in Queens. Helping develop future leaders and
business owners is a main priority for our success.

Follow us on Twitter and Instagram @MyAgentJose to stay updated with events we
may be hosting or sponsoring throughout New York.

AQUÍ PARA AYUDARLO CON SUS NECESIDADES DE SEGURO EN NUEVA YORK, NUEVA JERSEY,
PENNSYLVANIA Y CONNECTICUT.¡Nuestra agencia de State Farm ha estado abierta
desde Noviembre de 2018! El agente José Rivera tiene 8 años de experiencia en
seguros de State Farm. Nuestra agencia ofrece revisiones financieras y de
seguros GRATUITAS en persona en nuestra ubicación de Queens, NY o por teléfono
por uno de los cuatro miembros del equipo con licencia. - NOTARIO PÚBLICO
GRATUITO - ¡Damos servicio a todo el estado de Nueva York! Nuestro equipo habla
inglés y español.

¡Llámenos para ver si podemos ahorrarle dinero hoy!Estamos orgullosos de ser
reconocidos como líderes en la industria de seguros por brindar un servicio
excepcional a nuestras comunidades de Jamaica, Queens, el estado de Nueva York,
Nueva Jersey, Connecticut y Pensilvania.Acerca de nuestro agente: José Rivera es
un graduado de 1st Generation College que asistió a la Universidad de
Binghamton. Un orgulloso Hermano de La Unidad Latina, Lambda Upsilon Lambda
Fraternity, Inc José siempre está buscando involucrarse con la comunidad y
ayudar a guiar a los futuros líderes, nuestra juventud. ¡Me encanta ser agente
de State Farm! José viene con cinco años de experiencia en la oficina de la
Agente Hielly Martinez en el Bronx y ahora espera crear futuros agentes de State
Farm desde su propia oficina en Queens. Ayudar a desarrollar futuros líderes y
dueños de negocios es una prioridad principal para nuestro éxito. Síganos en
Twitter e Instagram @MyAgentJose para mantenerse actualizado con los eventos que
organizamos o patrocinamos en Nueva York.

हम आपके परिवार की सुरक्षा की परवाह करते हैं। निःशुल्क जीवन बीमा समीक्षा शेड्यूल
करने के लिए कृपया हमसे संपर्क करें।

हमारी राज्य फार्म एजेंसी नवंबर 2018 से खुली है! एजेंट जोस रिवेरा के पास राज्य
कृषि बीमा का 10 वर्षों का अनुभव है। हमारी एजेंसी हमारे क्वींस, एनवाई स्थान पर
व्यक्तिगत रूप से या पांच लाइसेंस प्राप्त टीम के सदस्यों में से एक द्वारा फोन पर
मुफ़्त बीमा और वित्तीय समीक्षा प्रदान करती है। - मुफ़्त नोटरी पब्लिक - हम पूरे
न्यूयॉर्क राज्य को सेवा प्रदान करते हैं! हमारी टीम अंग्रेजी और स्पेनिश बोलती है।
यह देखने के लिए हमें कॉल करें कि क्या हम आज आपका पैसा बचा सकते हैं!

हमें जमैका, क्वींस, न्यूयॉर्क राज्य, न्यू जर्सी, कनेक्टिकट और पेंसिल्वेनिया के
हमारे समुदायों को उत्कृष्ट सेवा प्रदान करने के लिए बीमा उद्योग में एक नेता के
रूप में स्वीकार किए जाने पर गर्व है।

We offer superior customer service, lower cost and many discounts, ask about
our:

 * Auto Insurance

 * Renters Insurance

 * Condominium Insurance

 * Personal Articles Policy

 * Home Insurance

 * Business Insurance | General Liability

 * Workers Comp

 * Commercial Auto

 * Life Insurance

 * Personal Liability Umbrella Policy

We're proud to be an award winning office!

*AMBASSADOR CLUB QUALIFIER*

*HONOR CLUB QUALIFIER*

*SVP CLUB QUALIFIER*



Helping save money in: NYC Queens Bronx Manhattan Brooklyn Long Island Staten
Island Jamaica Hollis Astoria Binghamton Broome County Cortland Oswego Syracuse
Buffalo Rochester Erie Albany Owego Vestal Johnson City Ithaca Cornell Stony
Brook New York City Yonkers Sullivan Westchester Winchester Suffern Mount Vernon
Hillside Ave Merrick Blvd Baisley Tremont Burnside Grand Concourse Webster Ave
Philadelphia Newark Stamford Hamptons York Newark Hartford Burnside Fordham
Riverdale Dyckman Washington Heights Uptown Downtown East West Stamford
Arlington Fleetwood Parkchester Cross County Tri-State TriState Pelham Scarsdale
Hartsdale White Plains Haverstraw Nyack Mahopac Ulster Westchester

…Read More
 * 
 * 
 * 
 * 
 * 


5 out of 5 average rating on Google (1366 reviews)


OFFICE HOURS


Closed Today

Mon-Fri
9am - 5pm
Sat-Sun
Closed
After Hours by Appointment
Call or text us 24 hours a day!
 * 
 * 
 * 
 * 
 * 


INSURANCE PRODUCTS OFFERED

Auto, Homeowners, Condo, Renters, Personal Articles, Business, Life, Health, Pet


OTHER PRODUCTS

Banking, Annuities

View Licenses
 * 
 * 
 * 
 * 
 * 


5 out of 5 average rating on Google (1366 reviews)

Contact Us

Contact Us

Text Us

Map & Directions

Get ID Card


WOULD YOU LIKE TO CREATE A PERSONALIZED QUOTE?

Select an Insurance Product
Select Product AutoHomeownersCondo OwnersRentersLifeHospital IncomeMedicare
SupplementPet InsuranceSmall Business

ZIP Code
State Selection
Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut
Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky
Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri
Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North
Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South
Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington
Washington, D.C. West Virginia Wisconsin Wyoming

ZIP Code
State Selection
Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut
Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky
Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri
Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North
Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South
Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington
Washington, D.C. West Virginia Wisconsin Wyoming

Start a Quote Request a Quote




Continue a saved quote | Items needed for a quote
File a Claim Send Payment
 * Auto Insurance
 * Motorcycle Insurance
 * Homeowners Insurance
 * Condo Insurance
 * Renters Insurance
 * Business Insurance
 * Life Insurance
 * Pet Insurance
 * Rec Vehicles Insurance
 * Boat Insurance
   
 * 
   See More
   


OFFICE INFO


OFFICE INFO


OFFICE HOURS


Closed Today

Mon-Fri
9am - 5pm
Sat-Sun
Closed
After Hours by Appointment
Call or text us 24 hours a day!


ADDRESS

169-22 Jamaica Avenue
Jamaica, NY 11432-5218

Map & Directions
   


 * PHONE
   
   (347) 644-5333
   
   


 * MOBILE
   
   (929) 391-6285
   
   
   
   


 * FAX
   
   (347) 269-1137
   
   
   


LANGUAGES

English, Spanish


About Me


Thank you for choosing our agency for all of your insurance and financial
service needs. Our knowledgeable and friendly representatives are here to assist
you with any questions or concerns you may have.

ALL OF OUR QUOTES ARE FREE! FOR A PERSONALIZED QUOTE PLEASE CALL US OR VISIT US
IN PERSON TO MEET WITH OUR AWARD-WINNING TEAM.

HERE TO HELP YOU WITH YOUR PERSONAL PRICE PLAN IN NEW YORK, NEW JERSEY,
PENNSYLVANIA, CONNECTICUT AND VERMONT.

WE CARE ABOUT PROTECTING YOUR FAMILY. PLEASE CONTACT US TO SCHEDULE A FREE LIFE
INSURANCE REVIEW.

Our State Farm Agency has been open since November 2018! Agent Jose Rivera has
10 years of State Farm Insurance experience. Our agency offers FREE Insurance
and Financial Reviews in person at our Queens, NY location or over the phone by
one of five licensed team members. - FREE NOTARY PUBLIC - We service the entire
New York State! Our team speaks English & Spanish. Give us a call to see if we
can save you money today!

We are proud be acknowledged as a leader in the insurance industry for
delivering outstanding service to our communities of Jamaica, Queens, New York
State, New Jersey, Connecticut and Pennsylvania.

About our Agent: Jose Rivera is a 1st Generation College graduate having
attended Binghamton University. A proud Hermano of La Unidad Latina, Lambda
Upsilon Lambda Fraternity, Inc Jose is always looking to get involved with the
community and help guide the future leaders, our youth. I love being a State
Farm Agent! Jose comes with five years of experience at Agent Hielly Martinez
office in The Bronx and is now looking forward to creating future State Farm
Agents from his own office in Queens. Helping develop future leaders and
business owners is a main priority for our success.

Follow us on Twitter and Instagram @MyAgentJose to stay updated with events we
may be hosting or sponsoring throughout New York.

AQUÍ PARA AYUDARLO CON SUS NECESIDADES DE SEGURO EN NUEVA YORK, NUEVA JERSEY,
PENNSYLVANIA Y CONNECTICUT.¡Nuestra agencia de State Farm ha estado abierta
desde Noviembre de 2018! El agente José Rivera tiene 8 años de experiencia en
seguros de State Farm. Nuestra agencia ofrece revisiones financieras y de
seguros GRATUITAS en persona en nuestra ubicación de Queens, NY o por teléfono
por uno de los cuatro miembros del equipo con licencia. - NOTARIO PÚBLICO
GRATUITO - ¡Damos servicio a todo el estado de Nueva York! Nuestro equipo habla
inglés y español.

¡Llámenos para ver si podemos ahorrarle dinero hoy!Estamos orgullosos de ser
reconocidos como líderes en la industria de seguros por brindar un servicio
excepcional a nuestras comunidades de Jamaica, Queens, el estado de Nueva York,
Nueva Jersey, Connecticut y Pensilvania.Acerca de nuestro agente: José Rivera es
un graduado de 1st Generation College que asistió a la Universidad de
Binghamton. Un orgulloso Hermano de La Unidad Latina, Lambda Upsilon Lambda
Fraternity, Inc José siempre está buscando involucrarse con la comunidad y
ayudar a guiar a los futuros líderes, nuestra juventud. ¡Me encanta ser agente
de State Farm! José viene con cinco años de experiencia en la oficina de la
Agente Hielly Martinez en el Bronx y ahora espera crear futuros agentes de State
Farm desde su propia oficina en Queens. Ayudar a desarrollar futuros líderes y
dueños de negocios es una prioridad principal para nuestro éxito. Síganos en
Twitter e Instagram @MyAgentJose para mantenerse actualizado con los eventos que
organizamos o patrocinamos en Nueva York.

हम आपके परिवार की सुरक्षा की परवाह करते हैं। निःशुल्क जीवन बीमा समीक्षा शेड्यूल
करने के लिए कृपया हमसे संपर्क करें।

हमारी राज्य फार्म एजेंसी नवंबर 2018 से खुली है! एजेंट जोस रिवेरा के पास राज्य
कृषि बीमा का 10 वर्षों का अनुभव है। हमारी एजेंसी हमारे क्वींस, एनवाई स्थान पर
व्यक्तिगत रूप से या पांच लाइसेंस प्राप्त टीम के सदस्यों में से एक द्वारा फोन पर
मुफ़्त बीमा और वित्तीय समीक्षा प्रदान करती है। - मुफ़्त नोटरी पब्लिक - हम पूरे
न्यूयॉर्क राज्य को सेवा प्रदान करते हैं! हमारी टीम अंग्रेजी और स्पेनिश बोलती है।
यह देखने के लिए हमें कॉल करें कि क्या हम आज आपका पैसा बचा सकते हैं!

हमें जमैका, क्वींस, न्यूयॉर्क राज्य, न्यू जर्सी, कनेक्टिकट और पेंसिल्वेनिया के
हमारे समुदायों को उत्कृष्ट सेवा प्रदान करने के लिए बीमा उद्योग में एक नेता के
रूप में स्वीकार किए जाने पर गर्व है।

We offer superior customer service, lower cost and many discounts, ask about
our:

 * Auto Insurance

 * Renters Insurance

 * Condominium Insurance

 * Personal Articles Policy

 * Home Insurance

 * Business Insurance | General Liability

 * Workers Comp

 * Commercial Auto

 * Life Insurance

 * Personal Liability Umbrella Policy

We're proud to be an award winning office!

*AMBASSADOR CLUB QUALIFIER*

*HONOR CLUB QUALIFIER*

*SVP CLUB QUALIFIER*



Helping save money in: NYC Queens Bronx Manhattan Brooklyn Long Island Staten
Island Jamaica Hollis Astoria Binghamton Broome County Cortland Oswego Syracuse
Buffalo Rochester Erie Albany Owego Vestal Johnson City Ithaca Cornell Stony
Brook New York City Yonkers Sullivan Westchester Winchester Suffern Mount Vernon
Hillside Ave Merrick Blvd Baisley Tremont Burnside Grand Concourse Webster Ave
Philadelphia Newark Stamford Hamptons York Newark Hartford Burnside Fordham
Riverdale Dyckman Washington Heights Uptown Downtown East West Stamford
Arlington Fleetwood Parkchester Cross County Tri-State TriState Pelham Scarsdale
Hartsdale White Plains Haverstraw Nyack Mahopac Ulster Westchester


Products



INSURANCE PRODUCTS OFFERED

Auto, Homeowners, Condo, Renters, Personal Articles, Business, Life, Health, Pet


OTHER PRODUCTS

Banking, Annuities

View Licenses


OFFICE INFO


OFFICE INFO


OFFICE HOURS


Closed Today

Mon-Fri
9am - 5pm
Sat-Sun
Closed
After Hours by Appointment
Call or text us 24 hours a day!


ADDRESS

169-22 Jamaica Avenue
Jamaica, NY 11432-5218

Map & Directions
   


 * PHONE
   
   (347) 644-5333
   
   


 * MOBILE
   
   (929) 391-6285
   
   
   
   


 * FAX
   
   (347) 269-1137
   
   
   


LANGUAGES

English, Spanish


Simple Insights®



SIMPLE INSIGHTS®


PUT THE BRAKES ON AGGRESSIVE DRIVING


PUT THE BRAKES ON AGGRESSIVE DRIVING

Stay alert for the signs of aggressive driving in other drivers — or perhaps
even road rage bubbling up in you.


THE REAL CONSEQUENCES OF DRUNK DRIVING


THE REAL CONSEQUENCES OF DRUNK DRIVING

What's at stake if you're caught drunk driving? A lot. These tips help you avoid
the dangers of drinking and driving.


CONDO INSURANCE BASICS


CONDO INSURANCE BASICS

Condo insurance coverage works in tandem with the condo association’s master
policy. Learn more about how they work together to protect you and your stuff.

View More Articles

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SOCIAL MEDIA


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Videos



VIDEOS

FINAL BOSS (:30)



MAHOMES AND MAAUTO (FEAT. PATRICK MAHOMES & TRAVIS KELCE)



SORRY (:30)



WORKOUT BUNDLE (FEAT. DERRICK HENRY) :30


Contact Us Our Mission Our Team We're Hiring


YOU CAN ALSO CALL US AT (347) 644-5333

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PLEASE CORRECT THE FOLLOWING:

By filling out the form, you are providing express consent by electronic
signature that you may be contacted by telephone (via call and/or text messages)
and/or email for marketing purposes by State Farm Mutual Automobile Insurance
Company, its subsidiaries and affiliates ("State Farm") or an independent
contractor State Farm agent regarding insurance products and services using the
phone number and/or email address you have provided to State Farm, even if your
phone number is listed on a Do Not Call Registry. You further agree that such
contact may be made using an automatic telephone dialing system and/or
prerecorded voice (message and data rates may apply). Your consent is not a
condition of purchase. By continuing, you agree to the terms of the disclosures
above.



Please note: Insurance coverage cannot be bound or changed via submission of
this online e-mail form or via voice mail. To make policy changes or request
additional coverage, please speak with a licensed representative in the agent's
office, or by contacting the State Farm toll-free customer service line at (855)
733-7333.





Our mission is to be recognized in the community for our extraordinary bilingual
customer service and our knowledgeable and dependable staff. We strive to have
our office be the first and preferred choice for Insurance and Financial
Products. We look forward to being involved with the community and keeping State
Farm's Good Neighbor image alive in Queens and all of New York City.

Nuestra misión es ser reconocidos en la comunidad por nuestro extraordinario
servicio al cliente bilingüe y nuestro personal informado y confiable. Nos
esforzamos para que nuestra oficina sea la primera y preferida opción para
seguros y productos financieros. Esperamos involucrarnos con la comunidad y
mantener viva la imagen de buen vecino de State Farm en Queens y en toda la
ciudad de Nueva York.

…Read More

Agent Jose Rivera has 10 years of State Farm Insurance experience. Our Jamaica
office offers FREE Insurance and Financial Reviews in person at our Queens, NY
location or over the phone by one of five licensed team members. - FREE NOTARY
PUBLIC - We service the entire New York State, New Jersey, Connecticut and
Pennsylvania! Our team speaks English and Spanish. Call or text us today to get
your insurance needs serviced by us. Ask about our great discounts and pet
insurance!

Our office has over 1,200 5 star reviews on Google. Come find out why!

El agente José Rivera tiene 8 años de experiencia en seguros de State Farm.
Nuestra oficina de Jamaica ofrece revisiones financieras y de seguros GRATIS en
persona en nuestra ubicación de Queens, NY o por teléfono por parte de uno de
los cinco miembros autorizados del equipo. - NOTARIO PÚBLICO GRATUITO -
¡Atendemos todo el estado de Nueva York, Nueva Jersey, Connecticut y
Pensilvania! Nuestro equipo habla inglés y español. Llámenos o envíenos un
mensaje de texto hoy para que podamos atender sus necesidades de seguro.
¡Pregunta por nuestros grandes descuentos y seguros para mascotas!



…Read More

JORGE SANTILLAN

Team Leader

Hey! I'm Jorge and the Team Leader of our office. As a licensed Insurance
Representative I'm here to help with your Auto Insurance, Home, Renters, Life
Insurance, and Health Insurance products. I can help you in both English and
Spanish either over the phone or in person. Stop by or give us a call today!

¡Oye! Soy Jorge y soy un representante de seguros con licencia para productos de
seguros de automóviles, viviendas, inquilinos, seguros de vida y seguros de
salud. Puedo ayudarlo en inglés y español, ya sea por teléfono o en persona.
¡Visítanos o llámanos hoy!

…Read More

MINORKA HASSELL

Office Representative

Hola! I'm Minorka and I joined Agent Jose in March 2021 with an insurance
background. I'm a licensed Insurance Representative for Auto, Home, Renters, and
Life Insurance. I can help you in both English and Spanish either over the phone
or in person. Stop by or give us a call today!

¡Hola! Soy Minorka y me uní al Agente José en marzo de 2021 con experiencia en
seguros. Soy un representante de seguros con licencia para seguros de
automóviles, viviendas, inquilinos y de vida. Puedo ayudarlo en inglés y
español, ya sea por teléfono o en persona. ¡Visítanos o llámanos hoy!





…Read More
JA

JOSE ARANA

Office Representative

I'm Jose and I joined the team in 2023. I come with insurance experience from
another insurance company. I am licensed to assist you with your Auto Insurance,
Home and Renters Insurance, Life Insurance and your business insurance needs. I
can help you in person at our office in Jamaica, Queens or over the phone in
English and Spanish. Licensed to help you with your insurance needs in New York,
New Jersey, Connecticut and Pennsylvania.

…Read More

YUMARY RIVERA

Customer Service Manager

I love being involved with my community and family. SUNY New Paltz graduate. I
have 5 years of State Farm experience, and have been a part of the team since
2018. I am a licensed Insurance Representative for Auto Insurance, Home, Renters
Insurance and Life Insurance.

Me encanta estar involucrado con mi comunidad y mi familia. Graduado de SUNY New
Paltz. Tengo 5 años de experiencia en State Farm y he sido parte del equipo
desde 2018. Soy un representante de seguros con licencia para seguros de
automóviles, viviendas y seguros para inquilinos.





…Read More

MARIA GONZALEZ

Office Representative

Maria is an experienced Account Representative at our Jose Rivera, State Farm
Agent insurance agency in Jamaica Queens, New York. With a genuine passion for
customer care, Maria goes above and beyond to ensure her customers' needs are
met. Fluent in Spanish, Maria is able to effectively communicate and provide
services in New York, New Jersey, Connecticut, and Pennsylvania. Known for her
outgoing and friendly personality, Maria creates a welcoming and professional
environment for her customers. She takes the time to understand their unique
situations and offers personalized services to protect their valuable assets.
Whether it's auto, motorcycle, RV, boat, home, small business, or life
insurance, Maria is available to provide free quotes and help safeguard what
matters most to you and your loved ones.

With Maria's expertise and dedication, you can feel confident that your
insurance needs are in capable hands. She is committed to delivering excellent
service and ensuring that you have the coverage you need to feel secure. Contact
Maria today and experience the difference of having a knowledgeable and caring
insurance professional by your side.

…Read More
SV

SAM VEGA

Customer Service Representative

Hello all! I will be working remotely to assist onboard the customers of State
Farm Agent Jose Rivera. I have years of experience as a customer care
professional and look forward to helping.

CC

CHRISTIAN CORRALES

Auto Insurance Representative

Licensed to assist in Auto and Home Insurance, I will be working remotely to
assist the customers of State Farm Agent Jose Rivera.

Con licencia para ayudar en seguros de automóviles y viviendas, trabajaré de
forma remota para ayudar a los clientes del agente de State Farm, José Rivera.

…Read More


OUR AGENCY

We are a growing agency with big dreams and lots of potential. Our team works
hard to reach our goals together as a team and have fun while we are doing it!
If you want to work in an environment that is fun, challenging, and rewarding,
then Jose Rivera - State Farm Agent may be the right fit for you!



 * Our mission is to help people manage the risks of everyday life, recover from
   the unexpected and realize their dreams.
 * Our office is located in Jamaica, Queens.
 * I am a proud graduate of Binghamton University.
 * We currently have 4 team members at our agency.
 * Our agency has received awards including: Ambassador Travel, Legion of Honor,
   Senior Vice President's Club, and New Agent Program Qualifier
 * Additional languages spoken: Spanish



…Read More
Learn more about our agency and the career opportunities with us.
Available Positions
Customer Service Representative - State Farm Agent Team Member

Jamaica, NY Full Time

Insurance Account Representative - State Farm Agent Team Member

Jamaica, NY Full Time

Office Representative - State Farm Agent Team Member

Jamaica, NY Full Time

Please Note: This opportunity is about potential employment with an independent
contractor agent who solicits applications for State Farm products and services,
and does NOT result in employment with any of the State Farm Insurance
Companies. The employment selection decision , terms and conditions of
employment (such as compensation and benefits) are all determined solely by the
independent contractor agent.


YOU CAN ALSO CALL US AT (347) 644-5333

preferred__url
preferred__notes
preferred__topic


CONTACT US

Your preferred method of contact
 * Your Email
 * Your Phone

Your Name*
Your Phone*
Your Email*



Your Message:*

For your protection, please do not include sensitive personal information such
as social security numbers, credit/debit card number, or health/medical
information.

Your preferred method of contact
 * Your Email
 * Your Phone

I'd like more info about: *


For your protection, please do not include sensitive personal information such
as social security numbers, credit/debit card number, or health/medical
information.



Your Message:*


Remove
Please attach only file(s) — Unsupported file types will not be delivered to the
agent.
Send Email


PLEASE CORRECT THE FOLLOWING:

By filling out the form, you are providing express consent by electronic
signature that you may be contacted by telephone (via call and/or text messages)
and/or email for marketing purposes by State Farm Mutual Automobile Insurance
Company, its subsidiaries and affiliates ("State Farm") or an independent
contractor State Farm agent regarding insurance products and services using the
phone number and/or email address you have provided to State Farm, even if your
phone number is listed on a Do Not Call Registry. You further agree that such
contact may be made using an automatic telephone dialing system and/or
prerecorded voice (message and data rates may apply). Your consent is not a
condition of purchase. By continuing, you agree to the terms of the disclosures
above.



Please note: Insurance coverage cannot be bound or changed via submission of
this online e-mail form or via voice mail. To make policy changes or request
additional coverage, please speak with a licensed representative in the agent's
office, or by contacting the State Farm toll-free customer service line at (855)
733-7333.






AGENT LICENSE FOR JOSE RIVERA

NY-LA-1281418
NY-PC-1281418
NJ-1584788
CT-16872659
VT-3001913771
PA-929838

If you are using a screen reader and having difficulty with this website please
call (347) 644-5333.



DISCLOSURES

Prices vary by state. Options selected by customer; availability, amount of
discounts, savings and eligibility may vary.

Life Insurance and annuities are issued by State Farm Life Insurance Company.
(Not Licensed in MA, NY, and WI) State Farm Life and Accident Assurance Company
(Licensed in New York and Wisconsin) Home Office, Bloomington, Illinois.

Deposit products offered by U.S. Bank National Association. Member FDIC.

The creditor and issuer of this credit card is U.S. Bank National Association,
pursuant to a license from Visa U.S.A. Inc.

Pre-existing conditions: If you currently have a pet medical insurance policy,
switching carriers or purchasing a new policy may affect certain provisions such
as coverages for pre-existing conditions or deductibles already established
under your current policy. Let your State Farm® agent know if your existing
policy has provisions that might make it beneficial for you to keep.

Pet insurance products are underwritten in the United States by American Pet
Insurance Company and ZPIC Insurance Company, 6100-4th Ave. S, Seattle, WA
98108. Administered by Trupanion Managers USA, Inc. (CA license No. 0G22803, NPN
9588590). Terms and conditions apply, see full policy on Trupanion's website for
details. State Farm Mutual Automobile Insurance Company, its subsidiaries and
affiliates, neither offer nor are financially responsible for pet insurance
products. State Farm is a separate entity and is not affiliated with Trupanion
or American Pet Insurance.

State Farm (including State Farm Mutual Automobile Insurance Company and its
subsidiaries and affiliates) is not responsible for, and does not endorse or
approve, either implicitly or explicitly, the content of any third party sites
referenced in this material. Products and services are offered by third parties
and State Farm does not warrant the merchantability, fitness or quality of the
products and services of the third parties.

State Farm VP Management Corp. is a separate entity from those State Farm
entities which provide banking and insurance products. Investing involves risk,
including potential for loss.

Neither State Farm nor its agents provide tax or legal advice. Please consult a
tax or legal advisor for advice regarding your personal circumstances.

Like a good neighbor, State Farm is there.®
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