Renewal - Homeowners - RiskRevu.com

What is your first name? *

What is your last name? *

What is your full name?

What is your preferred phone number? *

What is your email address? *

Enter the street address for the home we are discussing. *

Did you install an alarm system in your home in the last 12 months?

Which components are included in your alarm system?

What other alarm components does your alarm system have?

What risk management strategies do you employ at this residence?

Enter a brief description of the risk management strategy you have at your home.

Is your home owned by a trust, LLC or other legal entity?

Please provide the name of the trust, LLC or other legal entity your home is owned by.

Any updates/renovations/additions planned or recently completed?

Please tell us about the renovations.

Have you updated any of these?

Please enter a brief description of any other updates you have done to your home. *

What other areas should we discuss?

Please enter a brief description of the other area we should discuss. *

Does this home include solar panels? *

How is the power generated by the solar panels being used? (Check all that apply)

How many solar panels are there?

Where are the solar panels located? (Check all that apply)

Do you own or lease the solar panels?

Are you responsible for insuring the panels?

What is the value of the solar panels? *

Do you operate a business out of your home?

Please tell us about your in-home business.

Any significant acquisitions in the past 12 months that we should know about?

What other valuable acquisitions should we know about?

Do you have any new appraisals for your valuables that you can upload to us?

Feel free to upload your appraisals to us.

Has the occupancy status of your home changed?

How has the occupancy of your home changed?

What is the occupancy of this location?

Did you hire any domestic staff?

Please provide of description of the employee duties and the number of hours worked on a weekly basis.

Would you like to discuss obtaining new flood coverage or higher flood coverage limits for your home?

Anything else you want to discuss regarding your homeowners insurance?

Disclaimer: This online questionnaire is a tool used to gather information. It is not an application for insurance. No insurance coverage will be bound or put into effect by submitting this form.

Consumer disclosure: By checking the box below you authorize the Agency who supplied this form to you to contact you via phone, email, and text messaging; to save and share with business partners the information you provided; to obtain consumer reports that may include credit-based reports (where legally allowed), public records, claims history, and driving records so that they can give you accurate insurance quotes.

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Homeowners Evaluation

Solar Panel Information

Ali (TEST) Jafarian

RiskRevu^TM Newsletter

Contact

Homeowners Evaluation

Solar Panel Information

Ali (TEST) Jafarian

Share This

RiskRevuTM Newsletter

Contact

RiskRevu^TM Newsletter