What would you like to insure?
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Property type
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Home
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Property state
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I have more than one property.
I have more than one property.
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Tell us about the property.
Share what you know. Technical details can be clarified later.
This property does not have a street address
This property does not have a street address
Property street address
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City
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ZIP code
Property county
Parcel number or clear location description
What happens next?
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Sell
Rent
Occupy
Renovate
Hold
Not sure
Current situation
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Selling
Between tenants
Inherited property
Renovating
Holding for later
Not sure yet
Current occupancy
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Empty
Partly occupied
Soon to be empty
Not sure
Occupied area and actual activities
Approximate vacancy date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Work planned or underway?
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No
Yes
Not sure
Type of home
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Single-family home
Condo
Townhouse
Small multifamily
Manufactured home
Other
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Former or current building use
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Approximate square feet
Planned future use
Commercial building details
Year built
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Number of stories
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1
2
3
4
5 or more
Not sure
Number of buildings at this location
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1
2
3
4 or more
Not sure
Construction type
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Frame
Joisted masonry
Noncombustible
Masonry noncombustible
Modified fire-resistive
Fire-resistive
Not sure
Roof covering
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Asphalt shingles
Metal
Flat membrane or built-up
Tile
Other
Not sure
Year roof last replaced
*
Overall building condition
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Good
Fair
Poor
Not sure
Utilities currently active
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Electricity and water
Electricity only
Water only
Neither
Not sure
Heat maintained during freezing weather?
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Yes
No
Not applicable
Not sure
Automatic sprinkler protection
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None
Full and operational
Partial and operational
Installed but not operational
Not sure
Inspection frequency
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Daily
Weekly
Monthly
Less than monthly
Not checked regularly
Not sure
Electrical, plumbing, and HVAC updates
Years and scope of updates, if known.
Known unrepaired damage or hazards
Describe any known damage, unsafe conditions, or open code violations. None or Not sure are acceptable.
Security measures
Alarms, cameras, fencing, secured openings, or other protection.
Approximate acres (or Not sure)
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Enter acres as text, or type “Not sure”.
Structures or improvements?
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No
Yes
Not sure
How is the land used?
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Unused
Recreation
Leased
Farm
Storage
Business
Development
Other
Not sure
Pond, lake, stream, or other water?
Please Select
No
Yes
Not sure
Underlying property
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Residential
Commercial
Not sure
Scope of work
*
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Cosmetic
Structural
Roof
Mixed
Ground-up
Demolition
Not sure
Work status
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Planned
Underway
Completed
Not sure
Who is doing the work?
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Contractor
Owner
Both
Not sure
Approximate project budget
Ground-up construction and demolition require a specific review.
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When do you need coverage?
I need guidance on the start date.
I need guidance on the start date.
Requested start date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expected duration
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Less than 3 months
3–6 months
6–12 months
More than 12 months
Not sure
A requested start date is not a confirmation of coverage.
Ownership
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Individual
LLC
Corporation
Trust
Estate
Other
Not sure
Legal owner / entity name
*
Your role
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Owner
Buyer
Authorized representative
Other
How long have you owned the building?
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Not yet purchased
Less than 1 year
1 to 3 years
More than 3 to 5 years
More than 5 years
Not sure
Has the property been insured during your ownership?
*
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Yes
No
Not sure
Current or most recent property insurer
Any property claims or uninsured losses during your ownership in the past five years?
*
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Yes
No
Not sure
Loss details
Approximate dates, cause, amount, and repair status, if known.
Insurance company loss runs
Please Select
Available for follow-up
I will provide them later
Requested from my insurer
No prior insurance
I need help obtaining them
Loss runs are claim-history reports issued by your insurer. We will arrange document follow-up separately; no upload is needed here.
Coverage requested
Building coverage amount requested
*
Business personal property / equipment value
Liability limit preference
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$1 million
$2 million
Other
Need guidance
Property valuation preference
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Replacement cost
Actual cash value
Need guidance
Mortgage lender or additional interested party
Loss runs are claim-history reports issued by your insurance company, including years without claims. Please provide the past five years, or your period of ownership if shorter.
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Where should the next steps go?
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Preferred contact method
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Your email
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Communication consent
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