Homeowners Insurance Renewal | Platinum Trust Bank

Insured's First Name

Insured's First Name is a required field

Insured's Last Name

Insured's Last Name is a required field

Email

Email is a required field

Phone

Phone is a required field

Date

Best time to call

Have you reviewed the coverage limits and deductibles on your current policy and do you feel that they are still adequate? Yes No

Have you reviewed the coverage limits and deductibles on your current policy and do you feel that they are still adequate? is a required field

Are you comfortable paying your current deductibles if you have a loss? Yes No

Are you comfortable paying your current deductibles if you have a loss? is a required field

Would you like a quote for flood insurance? Yes No

Would you like a quote for flood insurance? is a required field

Would you like a quote for earthquake insurance? Yes No

Would you like a quote for earthquake insurance? is a required field

Would you like a quote for a lower deductible? Yes No

Higher deductibles are available for lower premiums.

Have you purchased or acquired any of the following items? Do they need to be added to your policy? Yes No

Have you purchased or acquired any of the following items? Do they need to be added to your policy? is a required field

Have you made any additions or renovations that would increase the value of your home? Yes No

Have you made any additions or renovations that would increase the value of your home? is a required field

Is your home equipped with any secondary heating devices, such as a wood-burning stove or space heater? Yes No

Is your home equipped with any secondary heating devices, such as a wood-burning stove or space heater? is a required field

Is any part of your home rented to others? Yes No

Is any part of your home rented to others? is a required field

Is any type of business conducted on your premises or any type of business regularly kept at your home; example - childcare/babysitting, salon, etc.? Yes No

Is any type of business conducted on your premises or any type of business regularly kept at your home; example - childcare/babysitting, salon, etc.? is a required field

Do you own a seasonal or secondary home that is not listed on your policy? Yes No

Do you own a seasonal or secondary home that is not listed on your policy? is a required field

Do you own any watercraft such as an outboard, inboard/outboard or jet skis? Are you interested in liability coverage? Yes No

Specific limitations apply under the policy with regard to liability coverage.

Do you own any watercraft such as an outboard, inboard/outboard or jet skis? Are you interested in liability coverage? is a required field

Would you be interested in a quote for umbrella (excess liability) coverage? Yes No

Liability limits of $1 million or more are available and rates typically start at $150 per year for this very important liability coverage.

Would you be interested in a quote for umbrella (excess liability) coverage? is a required field

I have reviewed the questions above: Please contact me to discuss the items marked. I am not interested in any additional information at this time.

I have reviewed the questions above: is a required field

reCAPTCHA

reCAPTCHA is a required field