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10620 Griffin Rd #201, Cooper City, FL 33328
(954) 436-5630
customerservice@deweyinsurance.com
why us ?
Leave A Review
Refer Friends & Family
Testimonials
About Us
Insurance Products
Auto Insurance
Homeowners Insurance
Boat Insurance
ATV & Powersports
Condo Insurance
Flood Insurance
Motorcycle Insurance
Renters Insurance
Specialty Dwelling Insurance
Umbrella Insurance
Contact
Start Your Quotes
Start Your Quotes
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Home Quote Questionnaire
Home Quote Questionnaire
Name:
*
Phone number:
*
Is it ok to text?
*
Yes
No
Email address:
*
Property address:
*
Occupancy of house:
*
Owner occupied - primary residence
Owner occupied - secondary residence
Owner occupied - seasonal residence
Tenant occupied - 12 month lease
Tenant occupied - less than 12 month lease
Vacant
Property type:
*
Single family home
Townhouse
Condo
Multi-family (2 or more units)
New purchase/Prior insurance:
*
This is a new purchase
Prior insurance exists with no lapse
Prior insurance exists with less than 45 day lapse
No prior insurance
Gated community?
*
No
Yes - gate only
Yes - gate and guards
Does the house have a monitored alarm system? (An alarm certificate from the monitoring company will be required to grant the credit)
*
No
Yes - for burglar only
Yes - for fire only
Yes - burglar and fire
Number of bedrooms:
*
Number of bathrooms:
*
Any claims in the past 5 years at this or any other property owned by you? If yes, give date, type of claim, amount paid and is the claim still open?
*
Any pets? If yes, give type, breed and bite history:
*
Any bankruptcies, foreclosures or repossessions in the past 5 years?
*
Yes
No
Who referred you?
*
Call
Email
Claims
Payments
