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Home Policy Review

Your Name (required)

Your Email (required)

Address

Your Phone Number

City

State

Zip Code

1. Have you made any upgrades to your home – kitchen, bathroom, heating, woodstove - or finished your basement in the past 10 years?
YesNo

2. Have you put any additions on your home or built a garage or any other building on your property since you have lived there?
YesNo

3. Do you have a swimming pool on your property?
YesNo

4. Does your home have a sump pump?
YesNo

5. Do you own ATVs, motorcycles, snowmobiles, recreational vehicles or boats?
YesNo

6. Have you paid off your mortgage, refinanced, or taken out a 2nd mortgage?
YesNo

7. Do you collect, jewelry, fine arts, guns or any other valuable possessions?
YesNo

8. Do you conduct any income-producing businesses from your home?
YesNo

9. Would you be interested in flood insurance?
YesNo

10. Are you interested in sinkhole or earthquake coverage?
YesNo

11. Would you be interested in underground service/utility line coverage?
YesNo

12. Have you reviewed your liability limit recently to protect you from a lawsuit?
YesNo

13. Do you have life insurance other than through your employer?
YesNo

Please feel free to contact one of our CSR’s if you have any questions regarding this policy review.

What is your preferred method of contact?
PhoneEmailUS Postal Service