Renter’s Insurance Quote for Renter Insurance Name* Phone*Email* AddressAddress 2CityStateZipDate of BirthSocial Security NumberIs this a new policy?YesNoWho is you current insurer?Current policy expiration dateHow long have you been insured with your current companyWill you or do ou live on this propertyHow much personal liability?$100,000$300,000$500,000$1,000,000Deductible$500$750$1,000$2,000Number of UnitsName of storiesIs there a 24-hour door manYesNoAre there elevatorsYesNoThird ChoiceYear BuiltApproximate square feetHave you reported any claims or losses to your insurance company within the last 5 yearsYesNoType of constructionBrickWood FrameCinder BlockOtherRoof TypeComposite ShingleTileWood ShinglesOtherRoof age (in years)Burglar AlarmYesNoHeating System Forced air Electric Boiler Oil Propane Number of gas or wood fireplaces or stovesWhat floor do you live onDo you want sewer backup coverage: (for basement units only)YesNoNumber of bathooms