• Personal Coverage Check-Up

  • Let's walk through a quick check-Up. It will take less than a minute, but it will help us to be sure you are receiving the credits, discounts and coverage features you care most about.

    Some of the features may be very important to you, others, not so much. After you finish the check-up, please hit the SUBMIT button at the bottom and we'll send you a copy for your records.

    If you've asked us to adjust your coverage, and if you don't hear back from us within a day, please alert us.

    By the way, you can see explanations about these coverage types,  CLICK HERE.

  • A response is required on every line*
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  • Would you like to discuss any other questions with us?*
  • Do you periodically review your insurance for its adequacy and do you ask your insurance representative to make adjustments when you want them?*
  • Will any of your vehicles be used for ridesharing services such as Uber or Lyft?*
  • Will any of your properties be enrolled for use as Airbnb or VRBO?*

  • Any time you acquire or dispose of assets, make a purchase or lease something, or re-finance something, you should have a conversation with your insurance broker, your CPA and maybe even your attorney.

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  • Do you prefer Texting or email?*
  • Want to read the fine print?*

  • This document contains a few general descriptions of just a handful of coverage types. Although the ons listed are popular and common, they don't include all coverages, all features, all exclusions, or any of the conditions that probably would apply in a specific case. In fact, coverages, features, and credits vary by state and may not be available to every policyholder. United Western Insurance Brokers strives to be very open and transparent with all policyholders. Policyholders with questions are encouraged to reach out to the agency’s service team members with questions that they have regarding their own insurance and risk management needs.

  • After you hit the SUBMIT button, we'll send you a copy of this worksheet for your records. Thank You! 

    Please click the SUBMIT button now

  • *
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    2 digit month, 2 digit day, 4 digit year
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