HOMEOWNERS INSURANCE QUOTE

(click here for Condo insurance HO-6)

(click here for Renters insurance HO-4)

If you have a current policy, it is often helpful to fax us a copy,
so that we may compare the coverage.
Our fax number is (949) 270-0608.

ABOUT THE HOME OWNER
Name:
Address:
City:      
State:
Zip Code:
Phone:  
Birthday:
E-mail:
Confirm E-mail:
If you are a resident of AZ, OH, MN or NV, prior address is required if you have not been at your current address for at least 3 years.
Previous Address:
City:       State:
Social Sec Num (Not for CA, for accurate quote, otherwise estimate)  
Status Single   Married  Widowed
   

 

ABOUT YOUR HOME
Year Built:   Size (in sq feet):
Year Purchased:  
Number of Bedrooms:         Bathrooms     Garages
Stories:  
Dwelling  Coverage:  $ - feel free to call us with questions
Roof Type:   
Age of Roof:
Attached:
Liability Limits:  $100k $300k$500k

If you need more liability insurance, we can quote an umbrella policy quote from $500,000 to $5 million.
Extra Personal Property Coverage: $

(optional, beyond the already included portion)
   
Usage:
Other: Do you have a pet?  

If yes, choose amount of animal liability coverage:

  Prior losses or claims? Woodburning Stove
  Swimming Pool?           Trampoline?
Electrical:
  Is the dwelling within 500 feet of native brush, or isolated or inaccessible to fire fighting equipment?

Yes     No

   
  Do you currently have insurance (if yes, with what carrier? 
  What is your current yearly or monthly premium?
 
Other Coverages: Golf Cart?    Add a Watercraft (tell us more below)?  

Add a Snowmobile (tell us more below)?    

Add Jewelry (tell us more below)?  

  Do you have any other information about your property or apartment, or comments that you would like to share? Please place special requests here, such as extra coverage for special items.

 If you have any claims, let us know here.

 

         

   
NO COVERAGE IS BOUND, OFFERED, ISSUED THROUGH THIS ELECTRONIC COMMUNICATION, ALL POLICIES MUST BE UNDERWRITTEN AND APPROVED BY THE CARRIER. DO NOT CANCEL YOUR CURRENT INSURANCE.
 
 

 

 

Important Note

If you do not know how much dwelling coverage you need, make sure to les us know how many square feet your home is.

 
If you are not sure of exactly what you need, make sure to at least give us a description of your home and we will send you a base quote that we can later adjust to find what is right for you.

 

 

 

As independent insurance brokers, we can compare quotes from different insurance carriers to help you find a competitive rate. 

 

Why choose us as your broker?

 

 

Need help?

(949) 270-0609

 

 

 

Copyright 2009 Stratum Insurance Agency, LLC