Insurance Quote Form PDF Details

When exploring the world of homeowners insurance, the initial step that brings clarity to both the insurer and the insured is often the completion of an Insurance Quote Form. This comprehensive form, such as the one offered by the Insurance Center of Buffalo, acts as a detailed inquiry into the personal and property information of the potential policyholder. It starts with collecting basic personal information including the names of the insured, contact details, and sensitive data like Social Security Numbers. This is followed by current insurance details that help the insurer gauge the applicant's insurance history, including their liability limits and any claims made in the past five years. The form further delves deep into the characteristics of the home and property in question, asking for details from the construction year of the building to the proximity to fire departments and even the presence of a wood stove or fireplace. Special attention is given to the features that might influence the risk factor and, consequently, the insurance premium, such as the age of the roof, plumbing, and heating systems, as well as any special amenities like swimming pools or trampolines. Completing this form is more than just a bureaucratic step; it's a crucial part of ensuring that homeowners receive a tailored insurance quote that accurately reflects their unique situation, potentially protecting one of their most significant investments.

QuestionAnswer
Form NameInsurance Quote Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfillable auto quote sheet, insurance quote form printable, fill in the blanks quotation formats, quotation form fill template

Form Preview Example

 

 

Homeowners Insurance Quote Form

 

Insurance Center of Buffalo

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Personal Information:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Named Insured

 

 

Date of Birth:

 

 

 

 

SSN:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Phone:

 

 

Cell Phone:

 

 

 

 

Email:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd Named Insured:

 

 

 

Date of Birth:

 

 

 

 

SSN:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Phone:

 

 

 

Cell Phone:

 

 

 

 

Email:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address:

 

 

Township:

 

 

 

 

County:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State

 

 

 

 

Zip Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Insurance Information:

Current Deductible:

 

Liability Limit:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Insurance Carrier:

 

 

Current Dwelling Amount:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Policy Start Date

 

 

Known Losses (past 5 years):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home & Property Information:

Physical Address: Year Constructed: # Living in Home: # OF FAMILIES:

Miles from Fire Dept.

 

 

 

 

 

 

 

Responding Fire Dept.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fire Hydrant Near:

 

 

 

 

 

 

 

 

 

 

 

 

Inside City Limits?

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wood Stove:

YES

NO Fireplace:

 

 

 

Age of Roof (Years):

 

 

 

Roof Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Above Ground Sq. Footage:

 

 

House Style:

 

 

% of Basement Finished:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Walkout Basement:

YES

NO Age of Plumbing (Years):

# Full Bath:

# ¾ Bath:

 

# ½ Bath:

 

Heat Source & Type:

 

 

 

Age of Heat Source (Years):

A/C Central Air:

 

YES

NO

Age of Electrical (Years):

 

Kitchen Type:

 

Specialized Doors:

 

 

 

Other Special Features:

 

 

 

 

Business Usage:

YES

NO

 

Garage:

 

 

 

Garage Size:

 

 

 

 

 

Attached Structures:

 

 

 

Size of Structure:

 

Security System:

YES

NO

Attached Structures:

 

 

 

Size of Structure:

 

Total Acreage:

 

 

 

Other Attached Structures:

 

 

 

Size of Structure:

 

Trampoline:

 

 

 

Swimming Pool:

 

YES

NO

Pool Type:

 

Pool ([WUDV:

 

 

 

Pets (LIST BREED)

 

 

 

 

 

 

 

 

 

Outbuildings?

 

 

 

 

 

 

 

 

 

If yes, please enter type, size, and value for each:

High Value Items?

Please enter all details for any

Collectibles, Art, Jewelry, Guns,

ATVs, Snowmobiles, Boats, Etc.:

Any Additional Comments:

PHONE:

763-682-4890

EMAIL:

INFO@INSURANCECENTEROFBUFFALO.COM

FAX:

763-684-5278

ADDRESS:

PO BOX 458, BUFFALO MN 55313

How to Edit Insurance Quote Form Online for Free

We found the best software engineers to set-up our PDF editor. The application will let you create the homeowners insurance quote form pdf document conveniently and won't require too much of your time. This straightforward instruction will let you get going.

Step 1: The very first step requires you to select the orange "Get Form Now" button.

Step 2: Now you may modify the homeowners insurance quote form pdf. Feel free to use our multifunctional toolbar to include, delete, and transform the content material of the file.

Complete the homeowners insurance quote form pdf PDF and type in the information for each segment:

writing insurance quote form printable part 1

Provide the expected details in the Miles from Fire Dept, Fire Hydrant Near, Responding Fire Dept, Inside City Limits, Yes No, Wood Stove, Yes No Fireplace, Age of Roof Years, Roof Type, Above Ground Sq Footage, House Style, of Basement Finished, Walkout Basement, Yes No Age of Plumbing Years, and Full Bath box.

Filling out insurance quote form printable step 2

You should identify the key details in the High Value Items Please enter all, Any Additional Comments, Phone Fax, Email Address, and infoinsurancecenterofbuffalocom PO section.

step 3 to completing insurance quote form printable

Step 3: Choose the "Done" button. Next, you can transfer your PDF document - download it to your device or send it through email.

Step 4: Generate duplicates of the form - it may help you stay clear of potential complications. And fear not - we don't share or check your details.

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