HOA APPLICATION

HOMEOWNER ASSOCIATION APPLICATION
NAME OF HOMEOWNERS ASSOCIATION
Contact name

PrefixFirst NameLast Name
Contact email address
example@example.com
Contact Number
Mailing address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Location address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Requested effective date

MonthDayYear
Date
Year Built
Has there been a gut-rehab down to the studs? If so, what year?
Any renovations currently under way or planned within the next 3 years?

NoYes
Number of buildings
Total number of units
Number of tenant occupied units
Number of Stories (including garage if on ground floor)
Annual HOA Dues
Number of units vacant
Number of Elevators
Total Square Feet of the building
Garage
# of parking spots
Has the parking area/garage/tuck-under parking area been retrofitted with steal frame, shear walls or bracing dampers?
If there is a garage built-in, attached or detached, please provide the approximate square footage
List of commercial tenants if any. Please include square footage of each commercial tenant
Type of Construction
Type of Roof
Year Roof Updated
Is the community heated by electric baseboard heat?

NoYes
What type of electrical in the building?

100% Circuit BreakersKnob and TubeFusesAluminumother
Are any of the electrical panels (Sub panels and Main panels) one of the following: Federal Noark, Challenger, Federal Pacific - Stab-Lok, Zinc, Magentrip, Sylvania -Zinsco, or GTE Sylvania-Zinsco?

NoYes
Year Electrical Updated
What brand electrical panel does the building have?
Year Plumbing Updated
Year Water Heater updated
Year HVAC updated
Sprinkler Installed(100%)? /All Units

YesNo
Is there a central fire alarm?

YesNo
Is there a central burglar alarm?

YesNo
Annual Rental Income ($)
Any short-term rentals
Is there a community gym

NoYes
Is the a spa facility

NoYes
Is there any clubhouses on the property?

NoYes
Is there a swimming pool?

NoYes
Is there any clubhouses on the property?

NoYes
Are surveillance cameras used?

NOYES
Do you have a property manager?

NOYES
Is the building managed by a property management firm? If yes, please provide name and address
Do you require all tenants to carry renters insurance and obtain certificates of insurance on an annual basis?

NoYes
Please upload the pictures or copy of the current policy.

Cancelof
Current Insurance Company
Current Building Coverage ($)
Current Premium ($)
Have you had continuous insurance coverage for the last three years? If no, please explain.
Current Liability Coverage ($)
Current Business Personal Property coverage
Ex. common area furniture
Do you have Directors & Officers coverage

NOYES
Current Insurance Expiration Date

MonthDayYear
Any optional coverage that must be included?
Any claims in the last 3 years?

YesNo
Claim Date and Year?

MonthDayYear
Claim Date and Year?

MonthDayYear
Claim Date and Year?

MonthDayYear
Upload '3 year loss runs'

Please request loss runs from your current and any previous insurance company in the last three year.
Cancelof
Upload current insurance policy

Cancelof
How did you hear about us?
Should be Empty:

HOMEOWNER ASSOCIATION APPLICATION