Long Term or Short Term Rental Property

Rental Address You Need Coverage For? *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Is this property a NEW purchase? *

YES NO

What date do you need the policy to start? *

Date

Estimated Monthly Rental Income *

Will this property be fully furnished inside? (i.e. beds, couches, etc.) *

Yes, I need coverage for appliances AND furniture Yes, I appliances only please No, I will not need fire nor theft coverage for anything inside

What is the occupancy status TODAY of the property? *

Currently Vacant Currently Occupied

30 days from today, which best describes the occupancy of the property? *

Short Term Rental Long Term Rental Vacant Under Renovation Just Vacant No Renovation

Include the name of any LLC, CORP or INC you want included on the policy:

If the property is titled to an individual, skip this

Have you filed a property insurance claim in the last 5 years? *

YES NO

What's the mailing address of this policy? (Must Be Different from Above) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Upload Docs - Lease Agreements, Proof of Alarms, Appraisals, etc.

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Preferred rates come when you attach more docs like lease agreements or anything related to the property.

Legal Name of the Property Owner *

First Name Last Name

Cell Phone Number (for DocuSign) *

E-mail Address (for DocuSign) *

example@example.com