Condominium / Townhome Insurance Quote Request
Please note: This is for Condominum type properties. These types of properties usually have an HOA that maintains and insures the outside of the building. 
Please be aware of how we quote Condo insurance: We collect all the necessary information from you in order to determine the correct rating for you. We then use that information in order to determine an estimate for your insurance. Some of the things we may input include your name, date of birth, and your social security number (we will not ask you for your SS# on this form- but you will be asked for it when you apply for your policy). This information is used to pull a record of your claims history, and insurance/credit score. If you have questions or concerns about this please call us before filling in the quote request below at (405)805-0005.  By completing the information below you are providing us permission to pull your reports.  

If you have had homeowner/condo/renters claims please provide detailed info about your claims history so we can match you with the best carrier for your situation.

Don't want to type all this stuff? Just give us a call at (405)805-0005 and we will quote you right over the phone! We have "real" humans, right here on the West side of Oklahoma City, with a real brick and mortar office building. We are standing by to help you with your insurance needs! You may also call us to set up an appointment to visit in person.

We do not re-sell your information. We might give you a follow up email or call to make sure you got your quote --- but, we do not bug people! We are blessed that we stay pretty busy and don't have time for that nonsense! We try to get all quotes out to you within 24 hours on a business day. if you are in a hurry give us a call. 

* Means we must have this information in order to quote you accurately

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Is this quote for a condominium you already own, or one you will be purchasing? *
Approximately what month/year did you originally purchase (or closing date for new home purchase)?* *
enter the month and year purchased
Do you currently have Condominium insurance? *
If you answered YES above, what company are you with?
Enter the name of the insurance carrier
...and how long have you been with the current carrier?
If you answered YES above, when does your current policy expire?
enter the expiration date
MM
/
DD
/
YYYY
Have you had any homeowner, condo, or renters claims in the past 5 years? *
If YES, how many claims? Please tell us the cause of the claim, month/year of claim, and the approximate amount:
If you have had claims please provide as much information as possible so we may match you with the best carrier.
Is your home? *
Occupancy: *
How many stories tall is your home? *
How many square feet is your home?* *
How many units are in your building? *
Is your home in a high hazard flood area?
Clear selection
Number of fireplaces:
Original Year home was built? *
Any carports?
Clear selection
Do you have a garage?
Clear selection
If you have a garage how many cars?
If you have a garage is it:
What is the exterior of your home primarily made of?
Clear selection
If exterior is "other" please explain:
Are you (the condo owner) responsible for roof maintenance/repair or is it the responsibility of the HOA? *
Bathrooms
Number of Full Baths
(Full Bath = toilet, sink, shower/bath tub)
Number of Half Baths
(Toilet & Sink)
Number of 3/4 Baths:
(3/4 bath = Toilet, sink, and shower )
Other Information
Do you have any of the following:
If you have dogs or livestock please describe below what breeds and how many:
Do you have any of the following:
(check all that apply)
Do you intend to use this Condominium for Homesharing(Short Term Rental) activities such as AirBNB or Vrbo?
Clear selection
If you answered "yes" to Homesharing: Will you be renting out your entire unit or just part?
Clear selection
If you answered "yes" to Homesharing, How many nights per year do you intend to rent out for per year? 
Clear selection
First Named Insured
First Name *
(as it appears on deed)
Last Name: *
(As it appears on Deed)
Date of Birth *
MM/DD/YY
Marital Status *
Gender *
Highest level of Education completed:
Some carriers discount based on the level of education
If you are employed, what is your occupation?
Some carriers discount for occupations
Spouse / Co-owner Information
If you are single and the only property owner  in the household please scroll own to the "Your Contact Information" section below. If you are married you must include your spouse's information.
How is this person related to the Primary owner?
Marital Status Spouse / Co - Owner
Spouse/Co-owner Date of Birth
MM/DD/YY
Gender - Spouse/ Co- owner
Clear selection
Spouse / Co-owner as their name appears on the deed:
Include first and last name
Spouse / Co-owner occupation.
Some carriers discount for occupations
Spouse / Co-owner  Highest level of Education completed:
Some carriers discount based on the level of education
Address of the Home you wish to Insure
Street *
City *
State
Zip Code *
YOUR CURRENT ADDRESS OR PRIMARY HOME ADDRESS:
Need your COMPLETE address if it is not the same as the property address.
Servicing Fire Department
(If you do not know... put "don't know"
How many miles from fire station
Approximate feet from fire hydrant:
Approximate amount you wish to insure your Condominium unit for? (usually the "studs" in ... check with your HOA to determine what they insure and what you insure on the building) *
How much personal property coverage (contents) would you like to carry? 
How much personal liability coverage would you like to carry on your Condo policy?
Clear selection
How much Loss Assessment Coverage would you like to carry on your Condo policy?
Clear selection
What deductible are you currently carrying on your home? (Include you wind/hail deductible if you have one). If this is a new purchase what deductible would you like to carry? *
If you have not moved to the address above yet, or you have a separate mailing address please provide your mailing address:
Please provide your email address so we may email your quote to you: *
Please provide your phone number in case we have additional questions:
ADDITIONAL INFORMATION or comments you wish to provide:
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