The fastest way to receive a home/rental
quote is to send a copy of your current
insurance declaration page to firstname.lastname@example.org
If you have the time, please send the
completed information outlined below
Please include your email address
on any correspondence.
Please call if you have any
questions 972-881-5028 or 214-536-5540
(If the machine answers, please leave a message.)
**The homeowner questionnaire has 7 Sections
Section 1 is your Personal Information
Section 2 is your Home or Apartment Information
- Your Name
- Your Date of Birth
- Your Social Security Number
- Your Home Phone / Cell Phone
- Your Street Address
- Your City, State, Zip Code
- Your County
Section 3 is your Eligibility Information
- Year Home / Apartment was built
- Number of Liveable Square Feet
- Type of Construction
- Roof Type
- Age of Roof
- Is your home or apartment inside the city limits?
- How many miles from the Fire Station?
- How many feet to a Fire Hydrant?
- How many stories is your home?
- How many bathrooms in your home?
- Do you have a fireplace?
- Do you have gas heat?
- Do you have electric heat?
- Do you have central air conditioning?
- Do you have a garage?
- Is your garage attached?
- How many cars does your garage hold?
- What type of foundation is your home?
Section 4 is your Claims Information
- Do you have a swimming pool?
- Do you have a diving board with your swimming pool?
- Do you have a slide with your swimming pool?
- Do you have a fence around your swimming pool?
- Do you have a trampoline?
- Do you have any animals on property?
- If you have a dog, what is the breed?
- Do you have any prior bite claims?
- Do you have any hoofed or saddle animals?
- If yes, what type.
- Do you have more than 5 acres?
- Do you have any ATVs?
Section 5 is your Security Information
- Have you had any claims in the past 5 years?
Section 6 is your Current Coverage Information
- Do you have a monitored fire/burglary alarm system?
- When does your monitoring contract expire?
- Do you have a dead bolt?
- Do you have a Fire Extinguisher?
Section 7 is your Payor Information
- What is your current Dwelling (home) value in $?
- What is your current percentage of dwelling coverage?
- What is your current liability coverage?
- What is your current medical coverage?
- What is your current deductible percentage?
- Do you need additional jewelry value?
- Do you have any special replacement items?
- When does your current insurance expire?
- What is the name of your current insurance company?
- Do you have a mortgage payment?
- Is your insurance included in your mortgage payment?
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