25329 Interstate 45 N, Suite 101 The Woodlands, TX 77380

1-866-TEXAS-45
(1-866-839-2745)

Our Texas Insurance Policies & Coverages

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Renters Insurance

(Texas residents only, please.)

Contact Information
   
First Name
Last Name
Click here if your contact address is the same as your property address.
Address
Apartment / Suite
City, State, Zip Code
County
Social Security Number (optional, but helpful)     Rating Question
What is your Date of Birth?  
Email 
Single or Married
Daytime Phone ( ) - 
Evening Phone ( ) - 
Fax Number ( ) - 
Best Time to Contact You
Additional Comments

Residence Information
   
Address to be insured
Suite / Apartment
City, State, Zip Code
County
What type of dwelling are you insuring?
What is the total square footage of the dwelling?
What is the age of the dwelling/building?
Number of Apartments in your building?
Do you have any pets (if so, what is the breed)?
Do you run a business at this location?
How many stories are in your building?
How many bedrooms do you have?
How many bathrooms do you have?
   
Residence Features
   
What type of heat source do you use?
How is your building sided?
How far away from a fire station is your dwelling?
How far away from a fire hydrant is your dwelling?
   
Please check any of the following safety features that you have:
 
Burglar Alarm Dead Bolts Fire Alarm Fire Extinguishers
Manned Security Station Monitored Burglar Alarm Smoke Detectors Sprinkler System
   
Coverage Requested
   
How much insurance is needed on the contents (personal property) of your dwelling?
Requested amount of liability
     
Requested Deductible
How would you describe your credit history?
    Rating Question
   
Claims History
   
How many homeowners or renters claims have you had in the last 5 years?