What is your first name? *
What is your last name? *
What is your email address? *
What is your phone number? *
What is your primary mailing address? *
Is this the address of the rental property? *
What is the location address of the rental property? *
Please provide links to any websites and/or the name of any websites where the rental is advertised.
What length of time is the dwelling offered for rental? (Check all that apply)
Please describe the length of time the dwelling is offered for rental.
What is the minimum number of nights rented per rental term?
What is the cost per night rental rate?
How many weeks per year is the property rented?
What uses/purposes is the dwelling available for rent? (Check all that apply)
Please describe the other uses/purposes the dwelling is available to rent for.
What is the maximum number of tenants and their guests allowed in the dwelling?
Is there a management company contracted for this rental?
What is the management company's general liability insurance limit?
How are renters screened?
Who screens the renters?
Is the property inspected after each rental?
Please describe who inspects the property after each rental.
What is the minimum age for tenants?
Are there any employees? (Maids, Groundskeepers, Caretakers, etc.)
Do any of the employees live on the rental property?
Please provide a description of the employee living arrangement on the property.
Is there an enclosed swimming pool or trampoline on the rental property?
Please provide details about the pool or trampoline.
Do you use the property as secondary or seasonal residence?
Documents and Comments
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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.