Homeowners Renewal Questionnaire
By taking a few minutes to fill out and return this brief checklist, your nation West agent can help make sure that your insurance coverage is up-to-date and complete. Information submitted will be help confidential and will be used for renewal purposes only. Submission of information does not obligate you to purchase any product or insurance, nor does it represent any agreement to provide coverage under any insurance policy.
Have you made any upgrades or additions to your home in the last year? *
Please advise the age of the following
Have you started a business out of your home? *
Have you installed a woodstove in your home? *
Have you added, changed or paid off a mortgage holder in the last year? *
Has an alarm system (local or monitored) been installed in the last year? *
Are you a non-smoking household? *
Do you rent out rooms to boarders? *
Would you like a quote on higher limits or liability? Limits up to $5Million are available. *
***Did you know that Sewer Back-up Coverage is only available to add or increase when your policy is new or renewing? Please contact our office if you would like to discuss adding or increasing Sewer Back-up Coverage.
**Did you know that most insurance companies insure your jewelry up to $6,000.00 (subject to your deductible)? If your jewelry exceeds this amount, you may want to call us to discuss your options.
submissions or payments made via this website do not constitute a
binding agreement to your policy or coverages. Changes and
payments to policies are not effective or binding until you, or any
party involved, receive official notice from either your insurance agent,
or your insurance company. If you have any questions, please feel free to
Per the terms of our
we will not resell your information to any third-party.