Homeowners Quote Request Step 1: LocationProperty Address*City*Zip Code*Is your home within 5 miles of a fire station?YesNoIs your home within 1,000 feet of a fire hydrant?YesNoIs your home within a designated flood plain?YesNo Step 2: LocationHome's ConstructionYear Built*Square Footage (Excluding Basement)*Number of Stories*Select...1 story1 1/2 stories2 stories2 1/2 stories3 stories4 or more storiesBi-levelTri-levelNumber of Bedrooms*Select...12345+Number of Bathrooms*Select...11.522.533.54+Number of Fireplaces*Select...None123+Construction TypeMostly BrickMostly Wood FrameStuccoOtherFoundation Type*Select...Slab on GradeCrawl SpacePiers/Pilings/StiltsBasement Fully FinishedBasement 3/4 FinishedBasement 1/2 FinishedBasement 1/4 FinishedGarage Type*Select...Attached - 1 CarAttached - 2 CarAttached - 3 CarAttached CarportDetached - 1 CarDetached - 2 CarDetached - 3 CarDetached CarportNo GarageOtherExterior Wall Type*Select...AluminumBrickCedar ShinglesClapboardEngineered or Composite WoodFiber CementSeamless SteelStoneStuccoVinylOtherRoof Type*Select...Asphalt ShingleClay TileConcrete TileMetalSlateWood shakeOtherAge of Roof*Select...1 to 5 Years6 to 10 Years11+ YearsWiring Type*Select...AluminumCopperKnob and TubeOtherService Panel Type*Select...Circuit BreakerFuse BoxOtherHeating System TypeFuel oilElectricityNatural GasPropaneWoodKeroseneCoalOtherBurglar Alarm*CentralLocalNonePolice StationFire AlarmNoneMonitoredUnmonitoredUnsure Step 3: DetailsMy home has (check all the apply):TrampolineUncovered deck/patioFire extinguisherSwimming poolDead boltsSmoke detectorsCovered deck/patioIndoor fire sprinklerHow is the property occupied?*Select...Principal ResidenceSeasonal ResidenceSecondary ResidenceLong Term RentalVacant or UnoccupiedUnder ConstructionDo you have any of the following breeds of dogs: Chow, Doberman, German Shepherd, Pit Bull, Rottweiler, Wolf Hybrid, or mix of these?YesNoIs any business conducted on the property?YesNoHave you experienced any losses or claims within the last 5 years?YesNo Step 4: CoveragePlease enter your coverage needsEstimated Replacement Cost*Example: For $100,000 enter the amount 100000Replacement cost is the cost of rebuilding your home given today's prices. It is not the market value or selling price of the home. You should not include the cost of the land or other structures on your property.Personal Liability ProtectionSelect...$100,000$300,000$500,000$1,000,000DeductibleSelect...$250$500$1,0002,500$5,000Tell us about your current policyHow long has your home been insured without a lapse in coverage?*Select...3 years or moreBetween 2 to 3 yearsBetween 1 to 2 yearsBetween 6 to 12 monthsLess than 6 monthsNo coverage - new construction/purchasePolicy has lapsed/expiredWho is your current carrier?*Select...===Top Companies ===AllstateAmerican FamilyChubbFarmers InsuranceLiberty Mutual Insurance CompanyNationwide Insurance Company - Titan IndemnitySafecoState FarmTravelersUSAA=== Alphabetical Listing ===AAA - American Automobile Association - Auto ClubAIGAlfa InsuranceAlliedAllstateAmco InsuranceAmerican FamilyAmeripriseAmicaArbella InsuranceAuto-OwnersBearingstar InsuranceChubbCincinnati InsuranceCotton StatesCountry FinancialEconomy InsuranceElectric InsuranceErie InsuranceFarm BureauFarmers InsuranceFire Insurance ExchangeForemost InsuranceHorace MannLiberty Mutual Insurance CompanyMetLife Auto & HomeMutual of EnumclawNationwide Insurance Company - Titan IndemnityNorth Star InsurancePeerless InsurancePEMCO InsuranceSafecoSentry Insurance CompanyShelter Insurance Co.Standard Fire InsuranceState FarmThe HartfordTravelersTri-State Consumer Insurance CompanyUSAAWestern MutualWestfieldOtherWhen does your existing policy expire?* Step 5: Your InformationFirst Name*Last Name*Date of Birth* Mailing Address*City*Zip Code*Daytime Phone Number*Evening Phone Number (Optional)Email Address*
