Homeowners_Umbrella Renewal Questionnaire

Homeowners/Umbrella Renewal Questionnaire
Thank you for taking the time to complete this short renewal questionnaire.

Please answer the following questions based on the property covered by this policy.
Your Name*

First NameLast Name
Named Insured (if different)
Property Address - Number, Street, Town*
Example: 150 Grossman Drive, Braintree
Phone Number
Format: (000) 000-0000.
Email Address*
example@example.com
PhoneEmailMail
NoYes
NoYes
Please provide details if readily available:
NoYes - insured with TonryYes - insured elsewhereYes - not insured
NoYes - insured with TonryYes - insured elsewhereYes - not insured
NoYesUnknown
Please provide details for each pet living on the property:
NoYesUnknown
Please provide a brief description of the updates or renovations:
NoYesUnknown
What kind/brand of alarm system/security cameras do you have?
Is the system central or local monitoring?
Please upload copy of alarm certificate(s) if available

Upload File(s)
or send by fax to 617.773.9920 Cancelof
NoYesUnknown
YesNoUnknown
NoYesUnknown
What kind/brand water alarm system do you have?
Please upload copy of Water Shutoff Certificate if available

Upload File(s)
or send by fax to 617.773.9920 Cancelof
NoYes
NoYes
NoYes - above groundYes - in ground
Fenced in with locking gateDiving boardSlide
NoYesNot sure
If yes, provide details on the business that is conducted:
NoYesPotentially
What year was your roof last replaced?*
Are there any other changes we should be aware of pertaining to this property?
For questions regarding completing this form or any insurance questions in general please call 617-773-9200 and we will find someone to assist you.
Should be Empty:

Homeowners/Umbrella Renewal Questionnaire