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Do you own a home?
 
Yes
 
No
 
Remarks
 
 
 
 
Have you renovated your home or property (interior and/or exterior)?
 
Yes
 
No
 
Remarks
 
 
 
 
Have you recently finished a basement in your home?
(A finished basement may require additional coverage to protect items from water damage.)
 
Yes
 
No
 
Remarks
 
 
 
 
Is the amount of insurance on your home less than it would take to rebuild it?
 
Yes
 
No
 
Remarks
 
 
 
 
Would you like a home reconstruction estimate?
 
Yes
 
No
 
Remarks
 
 
 
 
Are you planning to sell, move to, purchase, or rent additional residential properties?
 
Yes
 
No
 
Remarks
 
 
 
 
Do you own or rent any other homes by yourself or with others that we do not insure?
 
Yes
 
No
 
Remarks
 
 
 
 
If we do not insure your home, when does your home insurance renew?
MonthYear
 
 
 
 
Do you have any out-buildings or separate garages on your property that is not on your policy?
 
Yes
 
No
 
Don't know
 
Remarks
 
 
 
 
Would you like more/broader coverage on your personal items?
 
Yes
 
No
 
Remarks
 
 
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