• LPI Homeowner's Discount Questionnaire

  • Are Any of the Following Devices installed on Property:

  • Alarm System
  • Install Date:
     - - :
  • Backwater Valve
  • Install Date:
     - -
  • Alarmed Sump Pump (ASP):
  • Install Date
     - -
  • Does ASP have Battery BackUp?
  • Automatic Water Shut-Off System
  • Install Date:
     - -
  • When was your Hot Water Tank last Replaced:
     - -
  • Is your Hot Water Tank Tankless:
  • When was your Roof last Replaced?
     - -
  • Does Property Sit on a Septic Field?
  • Does Property have an Unfinished Basement:

  • What kind of Siding does Property have on Exterior? (%)
    Please list all types of siding and percentage of cover for each:

  • Does your property have a Mortgage or Line of Credit?
  • Are You willing to provide your insurer with a Credit Score Consent?
  • Should be Empty: