Renewal Questionaire Name(Required) First Last Email(Required) Date(Required) Month Day Year Let's talk about your wheels...Do we insure all vehicles in your household?(Required) Yes No Are all the licensed drivers in your household listed on your auto policy?(Required) Yes No Have you acquired any of the following?(Required) Boat Motorcycle Motorhome Snowmobile Golf Cart Recreational Vehicle/ ATV Minibikes E-Bikes Mopeds n/a Do you drive:(Required) Uper/ Lyft Delivery services such as UberEats n/a Let’s talk about your digs…Have you moved since your last renewal?(Required) Yes No Are you planning to buy, sell or renovate your home in the next year?(Required) Yes No Have you installed a central station burglar or fire alarm?(Required) Yes No Have you replaced or updated any of the following this last year?(Required) Roof Electrical Plumbing Heating System n/a Have you paid off your mortgage, or will you in the next year?(Required) Yes No Have you refinanced or changed mortgage companies over the past year?(Required) Yes No Would you consider increasing your deductibles to lower your premium?(Required) Yes No Have you acquired a second home or any of the following?(Required) Second/ Vacation Home Investment Property Cabin Farm n/a Have you acquired any of the following this last year?(Required) Jewelry Fine Art Wine Collection Silverware Antiques Furs Camera Equipment Firearms Other valuable items or collections n/a Is your name on any other property we have not previously discussed?(Required) Yes No Is your personal property owned by an LLC or Trust?(Required) Yes No Let’s talk about your life…Do you give any private lessons or conduct business in your home?(Required) Yes No Do you serve on any non-profit boards or do work on non-profit committees?(Required) Yes No Let’s talk about your coverage…If you don’t already have an umbrella, are you ready to add one?(Required) Yes No Have you started a business or begun generating revenue on a hobby this year?(Required) Yes No Are you concerned you may need any of these additional coverages?(Required) Personal Cyber Life Insurance Flood Insurance Earthquake None at this time Anything else you would like us to know?
