Personal Insurance Review

Coverage for other people

Let's say you are driving to work and there was an accident with $300,000 in damages, how much would you want your policy to pay?:

Let's say you're involved in an accident or someone hurt themselves on your property. You were sued for $1,000,000. Where would you want the money to come from?:

Do you have a trampoline?:

Do you have any income-producing hobbies?:

Protecting Yourself And Your Property

Do you have any jewelry that you would want replaced if it were lost while you were on vacation?:

If you had damage to your car or home, would you prefer to have a lower deductible or a lower premium?:

Do you have any registered vehicles, such as boats or snowmobiles, that you would want replaced in the event of an accident?:

If you were injured in a car accident by an uninsured or underinsured driver, how would you want your medical bills to be paid?:

Do you have a home-based business?:

Do you have any collections such as guns or artwork?:

Do you have a vacation home or rental property?:

Do you have an inventory of your household possessions?:

If you live in an area frequented by flood, earthquakes or earth movement, would you want your property covered in the event of a catastrophe? :

Protecting Your Family

In the event of death, would you want loans on any of your vehicles paid off?:

In the event of death, would you want the mortgage on your home paid off?:

If you had a chronic illness that left you unable to care for yourself for an extended period or time, where would you want the :

Do you have any drivers under the age of 21?:

How many licensed drivers are in your household?:

Changes To Your Situation

Have you made any improvements or additions to your home or property over the past year?:

Have you made any major purchases in the past year?:

Have you added a burglar alarm or other security devices to your home or auto over the past year?:

Other Policies:

In order to protect your assets, it is important that we have complete information about your insurance coverage that is not written by us. Please provide information on the type of coverage, renewal date and the current insurance company.

Questions:

Do you have any questions about your insurance program?

Contact Information:

Please give us your name and the best way and time to contact you.

Customer name or code:

Thanks for providing this information . If we need to contact you for additional information, we will send you a message through the secure Message Center. You can view a copy of this request by clicking on File Cabinet. You will receive an email confirming this request made on Saturday, July 31, 2010 - 3:08pm.

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