Let us know your current marital status in case it's changed.
single married engaged separated divorced widowed
In total, how many full-time residents live in your household now?
(include kids away at college) —Please choose an option— 1 2 3 4 5 6 7
Please select the types of policies you have now (check all that apply) homeowner's auto condo-owner's renter's rental umbrella
Let's get started! Here's what we need to know for homeowner's updates:
What date does your current homeowner's policy renew? (not required)
What year was your roof last replaced or installed? (your best estimate if you're not sure)
Kitchen updates? How would you classify the quality level of your kitchen now?builder's grade semi-custom custom builder's grade semi-custom custom
Bathroom updates? How would you classify the quality level of your bathroom(s) now?builder's grade semi-custom custom builder's grade semi-custom custom
Do you have a basement?yes no
Do you have any structures on premises not (ex. shed, pole barn, pool, etc) yes no
Please select the type of security or fire alarm system you have (if any).none smart system (self-notify) monitored system (police/fire notify)
Have you installed any of the following (or similar) items?none pool jacuzzi trampoline free-standing wood stove
Because one of you works from a home office, how much personal property is used for business? (computer, desk, furniture, printers, etc) —Please choose an option— 0 to $1,500 $1501 to $3000 $3,001 - $5,000 more than $5,000
Do you need to schedule coverage for any valuables at this time? (jewelry, artwork, firearms, collectibles, etc) yes, please contact me no
In regard to pets or animals, please check all that apply:none dog(s) farm/livestock exotic animal(s)
Do you, or plan to, participate in any home-sharing programs? (ex. AirBnb, VRBO, etc) yes no
We have just a few questions about renter's insurance for you...
What date does your current renter's policy renew?(not required)
How much coverage would you need to replace all of your personal belongings? (clothes, furniture, appliances, etc...) minimum is $20,000
Do you need to schedule any valuables at this time? (jewelry, art, firearms, collectibles, etc) yes, please contact me no
Do you currently have any of the following (or similar) items?none pool jacuzzi trampoline free-standing wood stove
Because one of you works from a home office, how much personal property is used for business? (computer, desk, furniture, printers, etc) —Please choose an option— 0 to $1,500 $1501 to $3000 $3,001 - $5,000 more than $5,000
In regard to pets or animals, please check all that apply:none dog(s) farm/livestock exotic animal(s)
We just have a few items to review for condo-owner's insurance...
What date does your current condo-owner's policy renew? (not required)
How much coverage would you need to replace all of your personal belongings? (clothes, furniture, appliances, etc...) minimum is $30,000
Do you need to schedule any valuables at this time? (jewelry, art, firearms, collectibles, etc) yes, please contact me no
Because one of you works from a home office, how much personal property is used for business? (computer, desk, furniture, printers, etc) —Please choose an option— 0 to $1,500 $1501 to $3000 $3,001 - $5,000 more than $5,000
In regard to pets or animals, please check all that apply:none dog(s) exotic animal(s)
With regard to life insurance, select all that apply to you.
I/spouse have w/ employer interested in options I don't have any not interested I have but want to review it
Note: after submitting, you will directed to a secure portal to share your current coverages with us. This will allow us to do a more accurate and thorough job in providing quotes to you.
