Personal Renewal Review - Homeowners Policy "*" indicates required fields Your Name* First Last Your Email* Your Phone*Do you have jewelry you would want replaced if it were lost on vacation? Yes No Please provide details: Have you made any improvements or additions to your home over the past couple years? Yes No Please provide details: Have you added a burglar alarm or other security devices? Yes No In the event one of the household breadwinners passed away, have you thought about life insurance protection? Yes Yes, I would like more information It's not something I'm concerned about Let's say you were involved in an accident in your car, or someone hurt themselves on your property, and you were sued for $1,000,000 - where would you want the money to come from? My Insurance Policy My savings or retirement It's not something I'm concerned about I dont know Do you have any vacation homes, rental properties, recreational vehicles, boats or motorcycles? Yes No Do we insure those items already for you? Yes No Would you like us to provide a free quote? Yes No If you have had any claims in the past 5 years, were they all handled to your complete satisfaction? Yes No Tell us more information about your claim experienceGeneral Life Changes that may impact insurance (check all that may apply to you or members of your household) Had a baby Got married or engaged Got separated or divorced Purchased secondary or investment property Someone moved in or out of your household (including child) Other None Homeowners Insurance Discounts (check all that may apply to you) Fire or Burglar alarm installed (monitored by company such as ADT, Brinks, etc.) Gas alarm installed (such as carbon monoxide alarm or automatic gas main shut-off) Water alarm Non-smoker None Life Changes that impact Home Insurance (check all that may apply to you) Completed a home remodel, improvement, or addition Purchased or inherited high value items like jewelry, firearms, or artwork Purchased an outdoor trampoline Began renting out your home, either on a long-term or short-term basis (like Airbnb) Started a home-based business or have a hobby that earns income Have a new dog None Please check any items that are in/on your property in the last 12 months Dog Trampoline Swimming Pool Other None of the above Please tell us about any other changes in your household since last policy renewal if any, or any other applicable notes that may help us determine the proper limits of coverage for your home insurance policy.Agreement Please be advised that no updates or changes can be made to any of your insurance policies until you authorize one of our agents to process any policy changes.
