Home Insurance QuoteStep 1 of 333%Personal InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*Building InformationType of HomeSingle Family HomeDuplexTown HomeMobile HomeOtherPlease enter the type of building to be insured.Year BuiltEnter the year the building was built in.Square FootageEnter the homes square footage.Primary HeatingGas (Forced Air)ElectricHot Water RadiatorOil/Coal/KerosenePropaneOtherEnter the primary heating source in the building to be insured.FoundationBasement Fully FinishedBasement Partially FinishedBasement UnfinishedCrawlspaceSlabOtherChoose the foundation the building is on.Bedrooms1234567+Enter the total number of bedroomsBathrooms11.522.533.54+Enter the total number of bathrooms in the building.Roof TypeAsphalt ShingleTileConcreteOtherEnter the material the roof is constructed out of. If there are multiple types, note that in the comments section at the end.Roof AgeUnder 5 Years5-10 YearsOver 10 YearsSelect the age of the roof.StoriesOne StoryBi LevelTwo StoryTri LevelOtherEnter the number of stories in the building.Garage TypeAttached One CarAttached Two CarAttached Three CarAttached Car PortDetached One CarDetached Two CarDetached Three CarNo GarageOtherChoose the type of large this building has.Is your home located in a flood plain?YesNoNot SureSecurity SystemNoneMonitoredUnmonitoredNot SureSelect the type of security system the home has.Fire AlarmNoneMonitoredUnmonitoredNot SureSelect the type of Fire Alarm system the home has.Municipal LocationInside City LimitsOutside City LimitsNot SureSelect whether you home is located in the local city limits.Select any additional property features that apply Dead Bolts Fire Extinguishers Trampoline Covered Deck / Patio SwimmingpoolSelect all that apply.Do you have any of the following breeds of dogs: Chow, Doberman, German Shepherd, Pit Bull, Rottweiler, Wolf Hybrid, or a mix of these?YesNoCommentsPolicy InformationApproximate Replacement Cost of Dwelling (not including land)How Much do you think it would cost to build your house from the ground up?Personal Liability Coverage DesiredStandardPremiumMinimumOtherLiability coverage pays other people for losses they suffer that you could be sued for.Desired Deductable$500$1000$2000OtherThe deductible is the amount of money the homeowner needs to pay before the insurance company will pay for any claim.When would you like this policy to start? MM slash DD slash YYYY Select the desired to for the policy to be effect.Have you reported any claims or losses to your insurance company within the past 5 years?NoYesWill this insurance replace an existing policy?NoYesDo you currently have any home insurance for this building?Credit RatingExcellentGoodPoorUnsureWhat is your credit rating?Additional Comments