Abridged Homeowners Insurance Questionnaire

Your Home
Current Market Value of your home (An estimate is fine):*
Is there a basement?*
If you do have a basement, is it a walk out?*
What percentage of the basement is finished?*
Mark N/A if you do not have a basement.
Coverage
Please upload your most current insurance policy coverage declarations pages in PDF format so we can see the exact coverage limits you'd like us to compare. These can be easily downloaded from your online profile with your current provider (if you have a login), or from your current agent
Accepted file types: jpg, pdf, Max. file size: 98 MB.
Max. file size: 98 MB.
Max. file size: 98 MB.
Max. file size: 98 MB.

Exterior of the Home
What percentage is 'siding'?*

Siding or wall cladding is the protective material attached to the exterior side of a wall of a house or other building.
What percentage is 'brick'?*
Last year roof was updated:*
Do you have a swimming pool at your home?*

Interior of the Home
What kind of alarm system do you have in your home?*
Mark "N/A" if this does not apply.
How many fireplaces do you have?*
Are there circuit breakers?*
Knob & tube/aluminum wiring?*
Other Items to be covered
Do you need earthquake coverage?*
Do you need jewelry coverage?*
If you do need jewelry coverage, how much ($) is needed?*
Mark "N/A" if this does not apply.

Thank you for your time!
Thomas Insurance Advisors would like to thank you for completing the homeowners questionnaire. If you have additional questions, concerns or feel you need to supply additional information; then please use the space below.

General Information