Homeowners/Dwelling Form

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Homeowners/Dwelling Fire Renewal Questionnaire

Thank you for taking the time to complete this short renewal questionnaire. Please answer the following questions based on the property covered by this policy.

    Your Name

    Named Insured (if different)
    Phone Number
    Email Address
    Preferred communication method: PhoneEmailMail
    Property Address
    What is occupancy of the home?
    If “Secondary w/ rental” occupancy, how many weeks per year rented?
    If “Tenant” occupancy,
    Is this property deeded to a Trust or LLC?
    Have you purchased any new property?
    Have you purchased any new boats, ATVs, or other recreational vehicles?
    Are any pets living on this property?
    If yes – What type and/or breed?
    Were any updates or renovations made to your property?
    If yes: provide year updated
    Roof
    Electrical
    HVAC
    Water Heater
    Plumbing
    Do you have a working alarm system and/or security cameras installed on this property?
    Do you have a sump pump installed on this property?
    Do you have a trampoline on this property?
    Do you have a pool on this property?
    Does your pool have any of the following features
    Is any business conducted on this property?
    I am interested in other products. (Please select below)
    Are there any other changes we should be aware of pertaining to this property