Have you made any recent improvements or upgrades to your home?

Have you finished your basement?

Yes No

Do you have a sump pump?

Yes No

Do you have a wood burning stove?

Yes No

Have you installed any type of monitored alarm system in your home?

Yes No

Have you recently purchased or need to increase coverage for any of the following:

Is there any business activity operated out of your home or from anywhere on your property?

Yes No

Is there a swimming pool on your property?

Yes No

Is the pool fully fenced?

Yes No

Is there a diving board?

Yes No

Is there a trampoline on your property?

Yes No

Is the trampoline netted?

Yes No

Is the yard fully fenced around trampoline?

Yes No

Do you own any additional property/vacant land?

Yes No

Check the extra coverages that you would like information on:

Do you currently have a Mortgage on your home?

Yes No

Have you recently re-financed your mortgage and need to update your insurance policy with the new mortgage name and address?

Yes No