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    Personal Account Review

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      • Renters
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Personal Insurance Account Review

Personal Insurance Account ReviewGravity Certs2024-08-22T23:58:43-05:00
Name(Required)
A thorough review includes completing each of the sections listed below. If anything does not apply to you, please uncheck the box(es).

Home Review

Let's start with your home.
Did you install an Alarm System in the last 12 months?
Which components are included in your alarm system?
Check all that apply.
Is your home owned in a Trust, LLC, or other legal entity?
Has your home loan/mortgage recently been refinanced or has your home loan recently been sold or transferred to a different bank/loan servicing company?
Have you recently paid off your mortgage?
Have you recently filed any homeowners insurance claims? (This includes claims with no payouts)
Any updates, renovations, additions planned or recently completed?
Have you recently completed a home addition?
Have you updated any of these?
Does your home have solar panels?
How is the solar power being used?
Check all that apply.
Where are the solar panels located?
Check all that apply.
Do you own or lease the solar panels?
Are you responsible for insuring the panels?
Has the occupancy status of your home changed?
How has your home occupancy changed?
Has anyone in the household recently purchased/rescued/adopted a new pet/animal?
Has a swimming pool, diving board, pool slide, or trampoline recently been purchased, built, added, or installed?
Has anyone in the household recently changed jobs?
Has anyone in the household recently retired?
Has anyone in the household recently had a baby?
Has anyone in the household recently gotten married or divorced?
Have you recently added/installed an automatic water shutoff valve?
Have you recently added/installed an automatic water shutoff valve?
Would you like to discuss getting Flood Insurance or increasing your flood insurance limits?
Would you like to get, or increase, fungi or mold coverage?
Would you like to get, or increase, coverage for personal Cyber protection?
Any business conducted at your home?
What risk management strategies do you use at this home?
Check all that apply.

Secondary Home Review

Let's review another home.
Example: Florida Home
Did you install an Alarm System in this home in the last 12 months?
Which components are included in this alarm system?
Check all that apply.
Is this home owned in a Trust, LLC, or other legal entity?
Any updates, renovation, or additions planned or completed for this home?
Have you updated any of these on this home?
Does this home have solar panels?
How is solar power used?
Check all that apply.
Where are solar panels located?
Check all that apply.
Own or lease the solar panels?
Responsible for insuring the panels?
Has the occupancy status of this home changed?
How has this home occupancy changed?
Does this home have an underground oil tank?
Would you like to discuss getting Flood Insurance or increasing your flood insurance?
Would you like to get, or increase, fungi or mold coverage?
Would you like to get, or increase, coverage for personal Cyber protection?
Any business conducted at this home?
What risk management strategies do you use at this home?
Check all that apply.

Valuable Articles Review

Let's review your valuable articles coverage.
Any significant acquisitions in the last 12 months we should know about such as
Please provide a brief description of item(s) purchased or aquired
Click the plus icon (+) to the right to add multiple items.
Item Description
Value ($)
 
Do you have an appraisal for any of your valuables?
Drop files here or
Max. file size: 1 MB.
    Are any valuable items stored in a bank vault?
    What risk management strategies do you use to protect your valuables?
    Are any valuables owned in a Trust or LLC?
    Example: Loaning to a museum, or repairs being done.

    Automobile Review

    Let's review your automobile coverage.
    Have you purchased any vehicles in the past 12 months?

    Vehicle 1

    2. Add Vehicle

    Vehicle 2

    3. Add Vehicle

    Vehicle 3

    4. Add Vehicle

    Vehicle 4

    5. Add Vehicle

    Vehicle 5

    Have you sold or turned in any vehicles in the past 12 months?
    Any new drivers to be added to your policy?

    Driver 1

    1. Driver Name
    1. Date of Birth
    1. If a youthful driver, does this driver have a 3.0 GPA or better in most recent school semester?
    2. Add Driver

    Driver 2

    2. Driver Name
    2. Date of Birth
    2. If a youthful driver, does this driver have a 3.0 GPA or better in most recent school semester?
    3. Add Driver

    Driver 3

    3. Driver Name
    3. Date of Birth
    3. If a youthful driver, does this driver have a 3.0 GPA or better in most recent school semester?

    Any drivers away at school without a car?
    Any household drivers get any tickets recently?
    Any household drivers get into an accident recently?
    Any household drivers file any auto claims recently?
    Has anyone recently moved into or out of the household?
    Please enter name of student and location of school
    Click the plus icon (+) to the right to add multiple students.
    Student Name
    School Name
    School City & State
     
    Have you paid off any car loans?
    Include Year, Make, Model of each vehicle.
    Any vehicles used for business purposes?
    Including ride sharing services such as Uber and Lyft.
    Please briefly describe the car and the business
    Click the plus icon (+) to the right to add multiple vehicles.
    Vehicle
    Business Description
     

    Liability Review

    Let's review your liability exposures.
    What is your approximate net worth?
    Tell us about your liability risks
    Select all that apply.

    Wrapping Up

    Would you like to discuss any other topics?
    Disclaimer: This online questionnaire is a tool used to gather information. It is not an application for insurance. No insurance coverage will be bound or put into effect by submitting this form.
    Consumer Disclusure(Required)
    By checking the box below you authorize the Agency who supplied this form to you to contact you via phone, email, and text messaging; to save and share with business partners the information you provided; to obtain consumer reports that may include credit-based reports (where legally allowed), public records, claims history, and driving records so that they can give you accurate insurance quotes.
    This field is for validation purposes and should be left unchanged.

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    Phone: 972-243-3598
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