Homeowner Review

Another year has gone by and chances are that SOMETHING has changed. Some of these changes could have more of an impact on your insurance than you might think.
Requestor:
Please enter contact information
Insured Name: *
Property Address: *
Phone Number: *
Email Address: *
Changes:
If you can answer YES to any of the following questions, explain in the box following the question.
Requested Effective Date:
Did you put an addition onto your home? Add a garage, large shed, pool? Remodeled?
Is the named insured different than the name on the deed to the property? This includes trusts and estates.
Is any part of your property part of an association?
Do you have a child going away to school or returning home?
Do you have any renters?
Is any part of your house or detached structure used for business? Any business property on your property?
Do you have any pets? If so, please specify what type. If a dog, also specify what breed.
Any household member in an assisted living or care facility?
Are you a condo owner? Have you reviewed your condo by-laws or master policy? Yes  No
Optional Coverages
Are you interested in any of these optional coverages? If you are interested, we will let you know exactly what it covers and what the additional cost would be. No changes will be made to your policy until you have reviewed and accepted them.
Personal Umbrella (Liability) - starting limit of $1 million? Yes  No
Scheduled Personal Property (jewelry, silver, antiques, fine arts, guns & specialty items) Yes  No
Water Back-up and Sump Overflow Yes  No
Identity Theft Yes  No
Oil Spill / Leak Yes  No
Mold / Fungi Yes  No
Earthquake Yes  No
Flood Yes  No
Libel, Slander or False Arrest Yes  No
Building Ordinance (used if dwelling structure does not meet today's building code) Yes  No
Watercraft Liability Yes  No
Snowmobile / ATV / Other Recreational Vehicle Yes  No
* = Required Field
IMPORTANT: No changes are binding or in effect until you receive confirmation from us.
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