Home and Condo Insurance Quote

Quote Your Home or Condo

Property Type

When do you need your insurance to begin?

MM/dd/yyyy

Property Owner

Primary Insured

First Name

Last Name

Date of Birth

MM/dd/yyyy

Phone

Email

Is there another owner?

Yes

No

Secondary Insured

First Name

Last Name

Date of Birth

MM/dd/yyyy

Basic Information

In this stage we ask for information about the home that is necessary to assess risk and determine the best coverage options for you.

Property Address

Street Address

City

State

Zip Code

Unit Number

What year was the home built?

What is the square footage of the home?

What is the type of dwelling?

When was the home purchased?

MM/dd/yyyy

What was the purchase price of your home?

Dwelling Usage

Who occupies the home?

Who occupies the condo?

Is your home under construction?

Yes

No

How many occupants live in the household?

Number of dogs on premises

Is there a business or daycare operated out of your home?

Yes

No

Location Details

Location's distance to the nearest fire hydrant

Location's distance to nearest fire station

Do you live in a gated community?

Yes

No

How many homes are owned by you?

What kind of foundation was used to build the home?

Basement Type

Crawl space enclosure type

Open - The area beneath the structure is not enclosed to the ground allowing complete view and access underneath the structure on all sides. Enclosed - The area beneath the structure is enclosed to the ground by lattice, metal gate, ect.,

Number of stories in your dwelling

(Not including basement)

Number of units/apartments in your building

Features

This section gathers information about special features and amenities of the home. These details will be taken into consideration when building a policy to ensure your home is completely covered in the event of a loss.

Does this home have any of the following?

(Select all that apply)

Pool

Garage/Carport

Type of garage or carport

Utilities

What is the primary heating type?

Have any of the following been updated or replaced?


Roof Required
Electrical Required
Heating Required
Plumbing Required

Safety Features

Does this home have any of the following?

(Select all that apply)

Home Coverage Information

Some of the coverages are prefilled as they are most common for the insurance quote you requested. Please adjust them based or your needs. If your not sure about how much coverage you need, we can change them later.

How much would it cost to completely replace or rebuild your home?

Other Structures

$

Personal Property

Covers things like: furniture, clothing, electronics, kitchenware, etc.

Minimum: $15,000 Maximum: $100,000. Coverage over $100,000 is available, but normally requires approval.

Personal liability

Medical Payments

General deductible

Windstorm deductible

Discount Qualification

Select the insurance company currently providing coverage for your home

Has your property insurance been cancelled, declined or non-renewed in the last 5 years?

Yes

No

Do you have any losses?

Yes

No

Do you currently have a personal auto policy

Yes

No

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