Home Renewal Questionnaire Completing this form will help us evaluate your policy to make sure things are still right. If we find anything that needs to be fixed, we will let you know. It's our goal to help you avoid coverage gaps. Having a 'gap' means not having insurance when you should. Your Name(Required) Email of person completing form(Required) Update emails and cell numbers for you or family Ownership change or future ownership changePlease let us know if the deed has switched into a trust or into someone else's name.Does the named insured and spouse reside in the home?If one or more of the owners have moved, we need to know. Has the property deed changed Deed is in a trust Ownership has changed Home will be selling in next 12 months Please give more detail to the name change Tell us about your home...Updating your home does affect your home insurance, so please take a few minutes to get us up to speed. Age of Roof: Have you paid off your home? Yes No Verify if you have a mortgage and name of mortgage company and if insurance is paid by your mortgage company (escrow). Have you upgraded the home?Room additions, remodeling where you've upgraded the finishes will impact what it will cost to rebuild your home Yes No Describe what you've done and approximate cost. Is your basement completed? Yes No If completed, what percentage? Detached StructuresLet us know the shape eof the detached structures including the roof. Not applicable Good Fair Needs work Describe the detached structures Is there a Wood Stove?Does your home have a free-standing wood burning stove? Yes Yes and It was professionally installed No If there is a stove, answer the following: We have one but never use it We use it as supplemental heat It is our primary heat source Is there a pool, trampoline, or hot tub? Not applicable Pool Trampoline Hot tub If so, is the pool fenced, trampoline netted or hot tub covered? Not applicable Pool with rail or fence Trampoline is netted Hot tub has a cover Does your home have a sump pump or other deviceIf your home has a sump pump, septic or well system, let us know. Not applicable Sump with battery backup Sump without battery backup Septic OR Well Describe mechanical Jewelry - Fine Art - CollectiblesThe home policy could be tailored to include coverage for your special property items. If would like to know more about this, let us know what type of property you'd like to discuss. Jewelry Guns Art and collectibles Other What would you like more information on? Below are things that increase your risk to a liability claim:Do you have any dogs? Yes No If you have dogs, what breeds? Is your home ever used as a Air BnB or any other type of long or short term rental? Yes No Do you operate a full or part time business?If you run a business from your home making things or selling things or providing a service, the policy won't cover your business property or provide business liability. So let us know if this applies to you. Not applicable Pool Trampoline Hot tub Do you own any of the followingIf any of these items are owned, but not insured, let us know. The policy does not provide coverage automatically. ATV, Quad or any motorized vehicle other than equipment to service the property Drone or any hobby aircraft Any water craft Do you rent land for a seasonal home or trailer Do you own other property What else should we know about your property or what can we do to serve you better?