Name (of all drivers/occupants) Email Birthdates Address to be Insured Mailing address, (personal residence- if different) Needed for auto/boat/motorcycle/motorhome quotes VIN of all vehicles (or year, make and model) Are You Currently Insured? Any claims or violations in the past 5 years? Needed for home quotes Do they have current insurance? (condo, too) Square Footage? How many garage bays? (ie. 2-car, 3-car, etc.) 12345 Are they attached or detached? (condo, too) AttachedDetached Basement? FullPartial Percentage Finished: 10%20%30%40%50%60%70%80%90%100% Needed for renters quotes Personal property value for coverage? (includes bikes, clothes, furniture, etc.) Additional Notes
Name (of all drivers/occupants)
Email
Birthdates
Address to be Insured
Mailing address, (personal residence- if different)
VIN of all vehicles (or year, make and model)
Are You Currently Insured? Any claims or violations in the past 5 years?
Do they have current insurance? (condo, too) Square Footage?
How many garage bays? (ie. 2-car, 3-car, etc.) 12345 Are they attached or detached? (condo, too) AttachedDetached Basement? FullPartial Percentage Finished: 10%20%30%40%50%60%70%80%90%100%
Personal property value for coverage? (includes bikes, clothes, furniture, etc.)
Additional Notes
