Personal Account Review Questionnaire First Name Last Name Address City State Zip Code Home Phone Mobile Phone Email Address Have you completed any renovations or additions to your home/property? (Pool, dock, gazebo, deck, fencing, roof or window replacement, other improvements) Have you completed any renovations or additions to your home/property? (Pool, dock, gazebo, deck, fencing, roof or window replacement, other improvements) Yes No Do you own any other properties that we don't currently insure? (Secondary residence, rental property, vacant land, etc.) Do you own any other properties that we don't currently insure? (Secondary residence, rental property, vacant land, etc.) Yes No Do you have any residence employees? (Nanny, housekeeper, etc.) Do you have any residence employees? (Nanny, housekeeper, etc.) Yes No Do you have any income producing hobbies or operate a business out of your home? Do you have any income producing hobbies or operate a business out of your home? Yes No What is the type of business or hobby? Are you renting out any part of your home? Are you renting out any part of your home? Yes No Do you have personal property that should be scheduled (appraisals may be required)? (Jewelry, coins, stamps, artwork, collectibles, etc. are limited in coverage on the standard policy) Do you have personal property that should be scheduled (appraisals may be required)? (Jewelry, coins, stamps, artwork, collectibles, etc. are limited in coverage on the standard policy) Yes No Is there an unfenced pool on the premises? Is there an unfenced pool on the premises? Yes No Are there any dogs, horses, exotic pets or farm animals on premises? Are there any dogs, horses, exotic pets or farm animals on premises? Yes No If yes, what type(s) breed and how many? Do you plan on Refinancing in the next 6 months? Do you plan on Refinancing in the next 6 months? Yes No Do you plan on moving or buying another property in the next 6 months? Do you plan on moving or buying another property in the next 6 months? Yes No Is every person in your household who holds a driver's license listed as a driver on your policy? Is every person in your household who holds a driver's license listed as a driver on your policy? Yes No Is anyone who regularly drives one of your vehicles listed as a driver on the policy? (A housekeeper or nanny who regularly drives your vehicle)? Is anyone who regularly drives one of your vehicles listed as a driver on the policy? (A housekeeper or nanny who regularly drives your vehicle)? Yes No Are all vehicles you own listed on your policy? Are all vehicles you own listed on your policy? Yes No Do you drive any vehicles furnished for your regular use that you do not own? (Company car) Do you drive any vehicles furnished for your regular use that you do not own? (Company car) Yes No Are all the vehicles listed on your policy titled to you and/or your spouse? Are all the vehicles listed on your policy titled to you and/or your spouse? Yes No Are any of the vehicles garaged at a different address? (A child away at school with a vehicle) Are any of the vehicles garaged at a different address? (A child away at school with a vehicle) Yes No Are any vehicles used in business, for sales, Uber, Lyft or deliveries, etc.? Are any vehicles used in business, for sales, Uber, Lyft or deliveries, etc.? Yes No Do you own any recreational vehicles or watercraft? Do you own any recreational vehicles or watercraft? Yes No Do you own any motorcycles, mopeds, minibikes or scooters? Do you own any motorcycles, mopeds, minibikes or scooters? Yes No Please tick the boxes for the types of protection you're interested in learning more about: Please tick the boxes for the types of protection you're interested in learning more about: Umbrella Liability (An additional layer of liability over your home & auto policies) Flood Insurance Business Insurance or Employee Benefits Life, Disability, Long Term Care Insurance or Annuities Pet Insurance Home Warranty Insurance How do you prefer we contact you? Check your preferred methods: How do you prefer we contact you? Check your preferred methods: Telephone / Mobile Phone Email SMS / Text Mail Submit