Renter’s Insurance Quote for Renter Insurance Name* Phone* Email* Address Address 2 City State Zip Date of Birth Social Security Number Is this a new policy? Yes No Who is you current insurer? Current policy expiration date How long have you been insured with your current company Will you or do ou live on this property How much personal liability? $100,000 $300,000 $500,000 $1,000,000 Deductible $500 $750 $1,000 $2,000 Number of Units Name of stories Is there a 24-hour door man Yes No Are there elevators Yes No Third Choice Year Built Approximate square feet Have you reported any claims or losses to your insurance company within the last 5 years Yes No Type of construction Brick Wood Frame Cinder Block Other Roof Type Composite Shingle Tile Wood Shingles Other Roof age (in years) Burglar Alarm Yes No Heating System Forced air Electric Boiler Oil Propane Number of gas or wood fireplaces or stoves What floor do you live on Do you want sewer backup coverage: (for basement units only) Yes No Number of bathooms Δ