Homeowners-Flood Renewal Questionnaire

Step 1 of 6

16%

What is the full name of the insured person's?(Required)

One person’s full name per line.

Has your mortgage company information changed?(Required)

Yes

Please provide us with the current mortgagee clause, loan number, and if this is an escrowed account below.(Required)

Has the home’s occupancy changed?(Required)

Yes

What changed?(Required)

Please explain what changed that isn't listed.(Required)

Do you own or have you purchased additional property, vacant land, or rent any portion of your home to others?(Required)

Yes

Please Explain(Required)

What year was your home built?(Required)

If built before 1974, what year?(Required)

Enter a 4 digit year

Since your home was built more than 50 years ago, would you be interested in discussing an increase in your ordinance and law coverage?(Required)

Yes

Ordinance or Law (L&O) coverage supplements losses incured through enforcing ordinances or laws which regulate construction and repair your damaged buildings. Older structures tend to be incompliant with modern building codes. When these structures are damaged to a certain extent, they must be demolished and rebuilt. Thus, L&O coverage helps you supplement losses incured while rebuilding your structure to today’s building codes typically not covered by standard commercial property insurance.

Have you replaced your roof in the last 15 years?(Required)

Yes

What Year(Required)

What material is the roof?(Required)

Other Roofing Material(Required)

Have you replaced your A/C unit in the last 15 years?(Required)

Yes

What Year(Required)

Have you done any electrical updates?(Required)

Yes

Please Explain(Required)

Have you replaced your hot water heater in the last 15 years?(Required)