Onboarding - Goodlad & Swank

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Are you a current customer?

Yes No

Let's get started!
What's your name?

First Name

Last Name

What would you like to cover today?

Home Car/Auto Business Condo Life Renter Flood

Would you like to bundle policies?

Yes No

Which policies would you like to bundle?

Home Car/Auto Business Condo Life Renter Flood

Let's go over your housing insurance

Select 'next' when you're ready to go!

What's the address you'd like a quote for?

Do you own or rent?

Own Rent

What type of home?

Single Family Condo Townhouse Apartment Multi Family Mobile

What is the property used for?

Primary Seasonal Vacation Rental

When was the property built?

How old is your roof?

What shape is your roof?

Gable Hip Flat

What is the name on the deed?

Are you currently insured?

Yes No

What is the name of the carrier?

What is the expiration date of the carrier?

Is there a monitored alarm?

Yes No

Is the alarm for burglars and/or fire?

Burglars Fires Both

Is it a gated/guarded/limited access community?

Yes No

Does it have a pool?

Yes No

Above ground or inground?

Above ground Inground

Does the pool have a screen enclosure?

Yes No

Any unrepaired damage to the pool?

Yes No

Is this for a new purchase?

Yes No

Are you purchasing with a mortgage or cash?

Mortgage Cash

Are you going to escrow?

Yes No

When was it purchased?

What was the purchase price?

What is the estimated closing date?

Prior Address

Let's go over your flood insurance

Select 'next' when you're ready to go!

When do you need coverage to start?

Which flood zone are you in?

Do you have an elevation certificate?

Yes No

Do you need more than $250,000 in flood coverage?

Yes No

Let's go over your business insurance

Select 'next' when you're ready to go!

What is the name of your business?

What is the FEIN of your business?

What type of business do you own?

What is the address of your business?

What year did you create your business?

What coverages are you seeking?

General Liability Property Workers Comp Business Auto Other

When do you need coverage to start?

How much coverage do you need for your rental?

Let's go over your life insurance

Select 'next' when you're ready to go!

How much coverage do you need?

How long do you need coverage?

One year Ten years Fifteen years Twenty five years Thirty years

When were you born?

What is your gender?

Male Female

What's your height?

What's your weight?

Do you use nicotine?

How is your current health?

Let's go over your car insurance

Select 'next' when you're ready to go!

Who is the first driver?

What is the age of the first driver?

Who is the second driver?

What is the age of the second driver?

Any accidents in the past five years?

Yes No

Enter your phone number

Enter your email address

What's your mailing address?

Street

Suite/Apt

City

State

ZIP

How would you like to be contacted?

Call Text Email

Goodlad & Swank

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A member of our staff will be in touch with you as quickly as possible.
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Homeowners Insurance Quotes

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