Insurance Checkup

TAKE 15 MINUTES TO REVIEW WHERE YOU STAND

If you are unsure your distinctive home is covered properly, we invite you to do the following:

1. Complete and submit the following form and we will contact you about an assessment of your current coverage.
   
   -or-
    

2. If you prefer, click here for a "printer friendly" form that you can complete at your leisure.

If you find you have "No" responses to some of these items it may be time to review your entire policy to make sure it will respond how and when you want it.

Contact Information First Name: Last Name: Email Address: Telephone Number: Best Way to Reach You: Email Address  Telephone Extended Replacement Cost Coverage This coverage is included in my policy? yes   no If yes, is there a maximum amount the policy will pay? Increased Costs Due to Building Ordinances or Laws This coverage is included in my policy? yes  no If yes, is there a sublimit for this coverage? Coverage For My Personal Contents Replacement cost coverage is provided for my contents? yes  no The contents limit on my policy is a percentage of my home's replacement value? yes  no If yes, what percentage was used? Do a quick count as to the value of your major belongings at today's prices.      How much coverage do you need?      How much do you have? Option For a Cash Settlement My policy offers a cash settlement option? yes  no If yes, will depreciation be factored into the amount? yes  no Determination of My Homes Replacement Value The value of my home was determined by: I feel confident the value was based on an assessment of replacement cost factors at current prices? yes  no My current company does its own appraisals? yes  no Special Form Coverage For My Home and Contents My home is covered on a special form policy? yes  no My contents are covered on a special form policy? yes  no