Information About Your Home - Step 1
Street Address of the Home you want to insure:
Unit/Suite Number:
City State ZipCode
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Do you already own this home?
-- Select --
Purchasing now or in last 30 days
Currently Own
Do Not Own - Rent
Type of home:
-- Select --
Single Family Home
Condo
Townhouse
Duplex
Apartment (Renting)
(other)
Do you occupy this home?
Primary Residence
Vacation Residence
Rental Property - Do not occupy
Number of Stories (not including basement):
1 story
1 1/2 stories
2 stories
3 stories
4 stories
Bi-level
Tri-level
Type of Basement:
No Basement
Completely Unfinished Basement
Less than Half Finished
More than Half Finished
Complete Finished Basement
What type of security system/alarm?
No Security System
Alarm Sounds in Home
Alarm Connected to Security Company
What type of Garage:
-- Select --
None
Attached to home
Detached
Carport
Size of your home:
Square Feet Number of Bedrooms Number of Bathrooms Garage Size
-- Select --
1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms
5 Bedrooms
6 Bedrooms
7 Bedrooms
8 or more Bedrooms
-- Select --
1 Bathroom
1 1/2 Bathrooms
2 Bathrooms
2 1/2 Bathrooms
3 Bathrooms
3 1/2 Bathrooms
4 Bathrooms
4 1/2 Bathrooms
5 Bathrooms
5 1/2 Bathrooms
6 or more Bathrooms
-- Select --
No Garage
1 car
2 cars
3 cars
4 cars
5 or more cars
Year the Home was Built:
Do you have a dog?
No dogs
Chow
Doberman
German Shepherd
Pit Bull
Rottweiler
(Other)