Home
Meet Agency
Get Quotes
Auto Insurance Quote
Home Insurance Quote
Life Insurance Quote
Other Insurance Quote
Products and Services
Claims
Location
Contact Us
Home Insurance Quote
Step 1 of 2
50%
Name
*
First
Last
Email
*
Home Phone
(###)###-####
Work Phone
(###)###-####
Date of Birth
SSN
Do you currently have insurance on this property?
Yes
No
What is the renewal date on your current policy?
Address of Property to be Insured
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip Code
County
Exterior Wall Category
A - Frame: Walls of aluminum, asbestos, asphalt, beveled wood, board & batten, cedar shakes, clapboard, concrete block, log, plywood, stucco, tempered hardboard, vinyl
B - Brick: Walls of adobe, artificial stone, common brick 8" thick, face brick, precast concrete, precast stone, split block
C - Stone: Walls of common brick 12" thick, native stone (such as granite or limestone)
Protective Devices Installed
Central Station System, Burglary &/or Fire Alarms: The alarm must report directly to a central station which is continually staffed by trained personnel, be UL approved, and be maintained by an alarm company.
Fire or Police Station Connected Alarm: These units alert the response unit, the fire station alarm should not use a home phone line, it must be connected to a direct circuit which notifies the remote station, such as a municipal fire alarm headquarters or fire station. The policy station connect burglary alarm much provide a local alarm and a transmission to a constantly attended police department.
Local Burglary Alarm (UL or FML approved): These are electrical devices on all windows, doors and openings. The alarms must be UL or FML approved and have a loud sounding device attached to the outside walls.
Amount of Dwelling Coverage the Property is Currently Insured for:
Mortgage Amount (monthly)
Purchase Price
Deductible
Year of Construction
What is the best way to contact you?
*
Email
Phone
When is the best time to contact you by phone?
*
:
HH
MM
AM
PM
Did anyone refer you? Please tell us who:
Leave a Reply
Click here to cancel reply.
Name
*
Mail (will not be published)
*
Website
Client Testimonials
I am completely satisfied with my relationship with the Pitts Insurance Team. I have been with you all since July 1994 and I am definitely “On Your Side” for good!
Lisa D Mumford, Columbia, SC 7/11/11