Auburn Hills Homeowners Insurance Quotes

If you would like to receive a quote for homeowners Insurance in Auburn Hills, simply fill out the form below and submit. Our helpful agent will contact you for your social security number and we will prepare your quote promptly.

Please contact our office if you have any questions about homeowners insurance in Auburn Hills.

Personal Lines Home Questionnaire

    Mailing Address

    Property Address (if different from mailing)

    Form

    Rental Dwelling

    Rental Dwelling

    Seasonal or Secondary

    Seasonal or Secondary

    Mortgage Free?

    Premium Paid by

    Indicate Current Limits

    Exterior Wall Material


    Miscellaneous Information
    Are all household residents Non-Smokers?

    Alarm System?

    If YES to Alarm

    Smoke Detectors?

    Fire Extinguisher?

    Dead Bolt Locks? (on every exterior door)

    Sump Pump?

    Swimming Pool?

    Wood Stove?

    If YES select all that apply

    Fence for Pool?

    Fence Locked?

    In Home Business?

    Trampoline?

    Trampoline Netted?

    Fenced Yard?

    Hot Tub?

    Hot Tub Locked Cover?

    Dogs?

    Bite History?

    What Year Were the Following Systems Updated?




    Any Claims in the last 5 years?

    If YES, please describe claims:

    Type

    Amount Paid Out

    Details

    Claim 1:

    Claim 1:

    Claim 1:

    Claim 2:

    Claim 2:

    Claim 2:

    Claim 3:

    Claim 3:

    Claim 3:

    Claim 4:

    Claim 4:

    Claim 4:

    Scheduled Personal Property

    # of Items

    Total Value

    Jewelry:

    Jewelry:

    Furs:

    Furs:

    Fine Arts:

    Fine Arts:

    Group Discount

    Name

    Membership Number

    Professional Society:

    Professional Society:

    Senior Association:

    Senior Association:

    Alumni-College/University :

    Alumni-College/University :

    Bank or Credit Union :

    Bank or Credit Union :

    Other Affiliations/Societies:

    Other Affiliations/Societies:

    Do you want a life quote?

    By submitting your information, you agree to the following terms:

    Insurance Coverage cannot be bound or changed via submission of this online form/application, e-mail, voice mail or facsimile. No binder, insurance policy, change, addition, and/or deletion to insurance coverage goes into effect unless and until confirmed directly with a licensed agent and or your insurance company.

    Note any proposal of insurance we may present to you will be based upon the values developed and exposures to loss disclosed to us on this online form/application and/or in communications with us. A proposal is not an insurance policy. Please refer to the actual policy for coverage limits, definitions and coverage exclusions.