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Who is your current insurance provider? -- Select Provider -- 21st Century Insurance AAA - American Automobile Association AARP ACE Limited Acuity Aetna Affirmative Insurance Aflac Alleghany Corporation Allied/Nationwide Mutual Insurance Company Allstate American Family Insurance American International Group (AIG) American Modern American National Insurance Company Ameriprise Ameritas Life Insurance Company Amica Mutual Insurance Applied Underwriters Arbella Insurance Group ASI Assurant Assurity Life Insurance Company Auto-Owners Insurance AXA Equitable Life Insurance Company Bankers Life and Casualty Company Berkshire Hathaway Chubb Corp. Cincinnati Insurance Company Citizens/Hanover Insurance CNA Financial Colonial Life & Accident Insurance Company Combined Insurance Commerce Insurance Group Conseco Country Financial Dairyland Insurance Elephant.com Encompass Insurance Company Erie Insurance Group Esurance Everest Evergreen USA RRG Farm Bureau Farmers Insurance Group Federated Mutual Insurance Company First Insurance Company of Hawaii FM Global Foremost Frankenmuth GAINSCO GEICO General Re Genworth Financial Gerber Life Insurance Company GMAC Insurance Gracy Title Company Grange Mutual Casualty Company Guardian Life Insurance Company of America GuideOne Mutual Insurance Haggarty Hastings Mutual Insurance HCC Insurance Holdings Hiscox Small Business Insurance Horace Mann Humana Infinity Property & Casualty Corporation IntelliQuote Insurance Services Jackson National Life John Hancock Insurance K&K Insurance Kansas City Life Insurance Company Kemper Lloyds Insurance Kentucky Farm Bureau Knights of Columbus Liberty Mutual Lincoln National Corporation Manhattan Life Insurance Company Markel Corporation MassMutual Meemic Merchants Insurance Group Mercury Mercury Insurance Group MetLife Modern Woodmen of America Mutual of Omaha National General Insurance National Life New Jersey Manufacturers Insurance Company New York Life Insurance Company Northwestern Mutual Omega OneBeacon Other/Not Listed Oxford Health Plans Pacific Life Pacificare PEMCO Penn Mutual Philadelphia Contributionship for the Insurance of Houses from Loss by Fire Philadelphia Insurance Companies Physicians Mutual Primerica Principal Financial Group Progressive Protective Life Prudential Financial QBE Reliance Insurance Company RLI Corp. Safe Auto Insurance Company Safeco Safeway Insurance Group Selective Insurance Sentry Insurance Shelter Insurance Southern Aid and Insurance Company Standard Insurance Company State Farm Insurance Sun Life Financial Symetra The Hartford The Norfolk & Dedham Group The Regence Group The Travelers Companies TIAA-CREF Titan Transamerica Corporation Trupanion Unum USAA West Bend West Coast Life Western & Southern Financial Group Western Mutual Insurance Group Westfield Insurance Westminster American Insurance Company White Mountains Insurance Group
When does your current policy expire? Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year 2023 2024
What is your birthdate? Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934
Construction Details
-- Bathrooms -- 1 1.5 2 2.5 3 3.5 4 or more
-- Foundation -- Basement - Finished Basement - Unfinished Crawlspace Daylight/Walkout Basement Piers/Pilings/Stilts Slab
-- Exterior Walls -- Aluminum Brick Cedar Shingles Clapboard Engineered or Composite Wood Fiber Cement Seamless Steel Stone Stucco Vinyl Other
-- Roof Type -- Asphalt Shingles Clay Tile Concrete Tile Metal Slate Wood Shakes Other
-- Heating System -- Coal Electricity Fuel Oil Kerosene Natural Gas Propane Wood Other
-- Wiring Type -- Aluminum Copper Knob and Tube Other
-- Service Panel -- Circuit Breaker Fuse Box Other
-- Fireplaces -- None 1 2 3 or more
-- Garage Type -- Attached - 1 Car Attached - 2 Car Attached - 3 Car Attached Carport Detached - 1 Car Detached - 2 Car Detached - 3 Car Detached Carport No Garage Other
Additional Home Details
Is business conducted on the property? No Yes
Any lossess or claims within the past 5 years? No Yes
Est. market value of home
Do you have a Chow, Doberman, German Shepherd, Pit Bull, Rottweiler, Wolf Hybrid or mix of these? No Yes
Is this your primary home? Yes No, secondary residence No, I rent out to others (I'm a Landlord)
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