Homeowners Requote Questionnaire

Requote Homeowners

Requote Homeowners Questionnaire
Who to send email to
Which Employee Is Filling This Out*
Were you able to get info from GIS?
Do we have their auto insurance?*
Primary Insured's First Name?*
Primary Insured's Last Name?*
Insured's Cell Phone*
Insured's Email*
How long have you been at your current address?*
Since you've lived there less Than 1 Year, what was your previous address? *

Street

Street Address Line 2

CityState

Zip Code
Do you have deadbolt locks on your home?*
Do you have a Burglar Alarm?*
"Central is like ADT. If the alarms goes off, a third party like ADT is notified. Smart is you get notified on your phone. Local is where it just makes a bunch of noise for the neighbors to hear but no one gets notified. Central is better than Smart so if the insured gets notified and ADT or some other company gets notified, choose Central."
Do you have a Fire Alarm?*
"Central is like ADT. If the alarms goes off, a third party like ADT is notified. Local is where it just makes a bunch of noise for the neighbors to hear but no one gets notified."
Do you have smoke detectors?*
Do you have fire extinguishers?*
Is your house visible to neighbors?*
Do any residents smoke?*
How many people occupy the home?*
How many are under the age of 18?*
Do you have any supplemental heat or a fireplace?*
What kind of supplemental heat? *
Is the fireplace masonry or prefab?*
Notes if needed.
When was the roof last replace and what material is the roof?*
When was the heating last replaced?*
Are you on a paved road?*
Do you have any pets?*
What type of pets and have they ever bitten anyone? IF DOG GET THE DOG BREED.
Do you have a trampoline or swimming pool?*
Is the trampoline netted and tied down?
Is the swimming pool above ground or below ground and is it fenced in?
Do you have any detached structures like a detached garage?*
Notes about the detached structures. TRY AND DETERMINE IF OTHER STRUCTURES NEEDS TO BE INCREASED.
Do you rent any part of your house out or conduct any type of business out of it?*
Explain renting house out or conducting business.
What are your current Auto Policy Bodily Injury Limits?*
How many at fault accidents have y'all had in the past 3 years?*
COVERAGE DEFAULTS AND CONSIDERATIONS

Ord Law 10%

Replacement Cost Contents

Replacement Cost Dwelling

Look to see if currently have Water Backup and if so, what limit

Increased Replacement Cost Dwelling Percentage 150%

Special Personal Property

Look to see if have Earthquake, if so, what part of house is masonry veneer (i.e. brick) if any part is brick or masonry then DO NOT flip the switch for “Exclude Masonry Veneer”

Check to see if higher limits for Jewelrry, watches, furs or guns

Homeowners Plus if AOI

If over 40 years in VA or all in NC with AOI do Increased Cost Endorsement

Leave theft and wind deducible on “Select” for EZLynx, only choose “All Perils Deductible”

Look to see if a mortgage on the home

Check for any other special endorsements.

It appears to be RANCH/Backsplit etc
Are you inside the city limits?
What is the exterior of the home, is it brick … vinyl siding? (NEED TO KNOW WHAT IS MORE THAN 50% ONLY)
It is showing online that it was built in …

MonthDayYear
current date

MonthDayYear
Year Calculate
Do you know the approximate square footage excluding any basements?
And how many stories is your home?
Do you have any skylights in the home?

What type of flooring do you have in your home and percentage of the home for each type of flooring?*

Rows	Floor Type	% of Home	Notes
Flooring 1
Flooring 2
Flooring 3
Flooring 4

How many acres of land are you on?
How many full bathrooms does it have
How many half bathrooms does it have?
Do you have any 3/4 bathrooms?
Would you say your bathrooms are standard builders grade bathrooms, semi-custom, custom or designer?
And what about your kitchen, is it builders grade, semi-custom, custom or designer?
Their system generally pulls in how far your house is from a fire hydrant but in case it doesn't, do you know if it is within 1000 feet of a fire hydrant?
Also, their system typically can tell how far you are from a fire department but just in case, do you know if you are within 5 miles of a fire department?
Does the roof have any Solar Panels on it?
How many Solar Panels does it have? - DO NOT COUNT GROUND MOUNTED OR PANELS ON DETACHED STRUCTURES
Is the roof hail resistant?
What is the design of the roof? Does it just have a slope on both the front and back, or does it slope on all 4 sides?
PUT NOTES IN HOW THEY DESCRIBE IT
Gable slopes on both front and back; Hip slopes on all 4 sides. Flat is obviously flat.
What type of heating do you have? Is it a regular heat pump?
Do you have Central Air Conditioning?
Since the house is over 30 years old, do you know if the electrical or plumbing has been updated since it was built?
What Year was the Electrical Updated
What Year was the Plumbing Updated
Since the electrical has not been updated, are you on circuit breakers or fuse boxes?
How many amps is your electrical service, is it 100 or 200 amps?
Is the house on slab, crawl space, or does it have a basement?
1st Foundation Combination %
1st Foundation Combination Description
2nd Foundation Combination %
2nd Foundation Combination Description
3rd Foundation Combination %
3rd Foundation Combination Description
Can you walk out of the basement?
Can you see out of the basement through a window?
What percentage of the basement is finished?
Do you have a deck?
What is the approximate sq footage of the deck?
INPUT TOTAL SQ FOOTAGE AND MAKE A NOTE HOW MANY DECKS.
What type of deck is it?
Do you have a garage?
Is it built in, attached, detached or a carport?
How many cars does it hold?

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Requote Homeowners