Property Insurance Renewal Questionnaire

Home Renewal Questionnaire

Please take a minute to answer a few questions about your property insurance. This will help us identify any coverage weakness and make sure you are properly covered.

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Name*
First Last
What is your preferred contact method?*
Let us know how to contact you*
Email*
Phone*
Please select your agent*

Have you made any recent upgrades or renovations to your property?*
- Yes
- No
Please describe your upgrades and/or renovations

Has anything changed with your Mortgage Company, such as a refinance or change of loan servicing company?*
- Yes
- No
- I don't have a mortgage

Do you have, or have you recently purchased, any of the following?
- High value jewelry
- Equipment/Gear also used in business, i.e. photography/videography, construction, etc
- Art work or Collectibles
- Firearms
- High value musical equipment
- I don't have anything like this that would need special coverage
Tell me more about what you think we should discuss

Have you made any changes to home safety?*
We want to make sure you're getting all discounts available for things like home security, etc.
- Yes
- No
What changes to home security have you made?

Do you have any of the following dog breeds?*
Akita, Alaskan Malamute, American Bull Terrier, American Staffordshire Terrier, Bullmastiff, Chow Chow, Doberman Pinscher, Pit Bull, Presa Canario, Rottweiler, Staffordshire Bull Terrier, Any Wolf Hybrid
- Yes
- No
Which breed of dog do you own?
Does your dog have any bite or attack history?
- Yes
- No

Please let us know if you would like to discuss any of these other kinds of insurance with your agent
- Other Property, i.e. Rentals, Vacation, Second Homes, etc
- Auto
- Motorcycle/RV/Boat
- Life
- Health
- Commercial

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At no additional cost to you, we can work on your behalf to compare your current coverage with a wide range of insurance companies to see who has the best possible deal on your insurance.

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