Personal Insurance Renewal Questionnaire

Please take a moment and complete the following questionnaire to ensure we have the most current information we need to renew your policy. We will follow up with you accordingly.

Fields marked with a * are required

Name

Preferred email address

1. Have you made any additions and/or renovations to your home with a completed value greater than $5,000?

2. Have you purchased, leased, or sold any motor vehicles during the past year?

3. Have you purchased, leased, or sold any real property or locations (including vacant land or buildings) during the past year?

4. Have you purchased or sold any additional jewelry, furs, firearms, or collectibles during the past 12 months?

5. Any changes to household driver status?

6. CONDOS ONLY: Would you like our agency to review your current Master HO6 policy to confirm coverages/loss assessment/limitations?

7. You may have an exposure to damage from a flood, sewer back up, or earthquake, which may not be covered by your homeowner’s policy. Would you like additional information on these risks and the appropriate coverage to provide protection?

8. Your exposure to a liability loss may exceed your policy limits even if you already have an umbrella policy in place. Additional limits of liability may be available. Would you like more information on obtaining higher liability limits?

Questions or Comments?