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Homeowners Insurance

Homeowners Insurance

Homeowners insurance protects you from financial losses caused by storms, fire, theft, and other events outlined in your policy. Carrying the right amount of coverage is essential to protecting your family and belongings.

 

Please complete the information requested below as accurately as possible, and upon your submission a DF Property & Casualty representative will contact you within two business days to provide your quote.

* Required fields

Tell us about yourself...

Name*

Employer/Occupation

Email Address*

Mailing Address*

City*

State*

Zip Code*

Date of Birth
/ /
Daytime Phone*

  Tell us about your current home insurance...

Present Insurer*

Annual Premium*

Current Dwelling Amount

Deductible*

Any claims in the past 3 years?* No Yes  

Date: Amount:

  Tell us about your home...

Year built*

Year Purchased*

Current market value

Construction type* (ie. Brick, Stone, Frame)

 

Total square footage

Number of stories*

Home specifications*

Basement

Unfinished Basement

Crawl Space

Slab

Finished Basement

% Finished

Fireplace

Central Air Conditioning

Wood Stove

Pool

Pets
Yes   No

Trampoline
Yes   No

Number of full baths*

Number of 1/2 baths*

Garage*
Attached   Detached   None

Size of garage

Do you qualify for the following discounts...

Renovations? No Yes  

Alarm System?*
Yes   No

Fire Extinguisher*
Yes   No

Deadbolt Locks*
Yes   No

Non-smoker*
Yes   No

Comments/Special Riders Requested


 


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