Long Term or Short Term Rental Property
Welcome to step 1 of getting insurance for a home or condo that is either rented out (short term or long term) or under renovation. Submissions attached with appraisals, inspection reports, paid invoices for completed work, etc. (which you can upload) are highly encouraged :) Thank you! -Nichol Ary - Goosehead Insurance - CA LIC#0H47963
Rental Address You Need Coverage For?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Is this property a NEW purchase?
*
YES
NO
Is the property currently insured?
Yes, the property is current insured.
No, there's no current coverage.
What date do you need the policy to start?
*
-
Month
-
Day
Year
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.
Browse Files
Drag and drop files here
Choose a file
Preferred rates come when you attach more docs like lease agreements or anything related to the property.
Cancel
of
Legal Name of the Property Owner
*
DOB of the Property Owner
*
-
Month
-
Day
Year
Date
Cell Phone Number (for DocuSign)
*
E-mail Address (for DocuSign)
*
example@example.com
Any special notes or items you'd like to share or ask?
Submit to Nichol Ary
Should be Empty: