Skip to content Accessibility info
Our offices will be closed Monday for the holiday. We will reopen Tuesday at 8:30AM. Even though we are closed you can submit a request, pay your bill, or get information for reporting a claim through the Service Center.

Insurance Quote Details


from Bailey Place Insurance

Homeowner Insurance Quote Questions

Please complete the form so that we can provide you with an accurate and competitive home insurance quote.

Contact Information
Are you the policy holder? ✶
Mailing Address

Property Information
Address
Is this a new home purchase?
Are you or will you be the only deeded owner of the house? ✶
Will this be your primary home? ✶

Property Description
Do you have any detached structures?
(shed, garage, carport, barn, etc.)
Do you have a security system in your home? ✶
Basement
Does the home have a basement? ✶
Is the basement finished?
Roof
years
Plumbing
years
Heating
years
Electrical
Does the house contain circuit breakers or fuses? ✶
years
Solar
Do you have any solar panels? ✶

Coverage Questions
Recent Claims
Have you had any property losses/claims on any owned property in the last 5 years? ✶
Do you or a resident family member own any farm equipment or recreational vehicles? ✶
Is any portion of your premises rented to anyone? ✶
Are there any business activities conducted at your home, or in or on any property that you own? ✶
(child or adult daycare, home based business, lawn mower repair, etc.)
Do you have any business property at or away from your home? ✶
Do you own or have any interest in any other real estate? ✶
(timeshare, vacation property, vacant land, camp, farm land, etc.)
Do you have any employees or domestic help at your residence? ✶
(nanny, care giver, cleaning person, etc.)
Pets/animals on the property? ✶
(incl horses, cows, goats, pigs, chickens, etc.)
Swimming pool on your property? ✶
Type
Pool features
Do you own a trampoline? ✶

Coverage Options

Are you interested in having or learning more about any of the following coverages?
Antiques & collectibles (stamps, coins, memorabilia, etc.) ✶
Jewelry, watches, or precious/semi-precious stones (loss or theft) ✶
Silver, gold, or pewter-plated ware or tableware ✶
Theft of firearms ✶
Flood damage to your home or personal belongings ✶
Earth movement (earthquake, landslide, etc.) ✶
Umbrella/Excess Liability ✶
Secure form

We respect your privacy. Your info will be sent securely and handled with care. View privacy policy.