What
deductible would you like for your home owners policy?
|
|
|
Current
or Desired Contents Limit
|
|
Replacement Cost
Included? |
Yes
No |
Do
you have high vale items listed and insured separately?
|
Yes No |
|
Please specify details
in the remarks
section. |
What
amount of liability coverage do you want?
|
|
|
Do
you currently have
a policy in force?
|
Yes No |
|
If
Yes, what month
does your policy expire?
|
|
|