www.allaninsuranceagency.com/homeownersquote
Home Owners Quote

Please fill out the following if you would like an agent to quote your home owners insurance. Once an agent has quoted your home owners insurance an agent will either give you a call or send you an email as soon as possible.

312 S. 1st Street

Selah, WA 98942

 

Phone #: 1-509-697-5383

Fax #: 1-509-697-5365

 

 

Tammy Allan (Agent)

ALLANINSURANC@FAIRPOINT.NET

 

Ken Allan (Agent)

KENALLAN@FAIRPOINT.NET

 

 

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Date:

Last Name:

First Name:

Primary Phone Number:

Email Address:

Address, City, State, Zip:

Do you currently have home owners insurance?

With who?

Current policy number:

Expiration date:

Type of structure: ex. Frame, Block, Etc:

Age of home:

Sq. Ft:

Do you have a 2nd floor:

Do you have a basement:

Type of heat: ex. Elec, Gas, Wood, Etc:

Woodstove or Fireplace:

Type of roof: ex. Comp, Shake, Metal, Etc:

Last replaced:

Garage: Attached or Detached:

Burglar Alarm:

Smoke Alarm:

Deadbolt:

Are you in city limits:

Distance to Fire Station:

Distance to Fire hydrant:

Any Animals: ex. Dog, Cat, Horses, Etc:

Coverage: Dwelling:

Coverage: Other structure's:

Coverage: Personal Property:

Coverage: Additional expense:

Coverage: Liability:

Coverage: Deductible:

Coverage: Jewelry:

Coverage: Furs:

Coverage: Camera's:

Coverage: Computer's:

Coverage: Gun's:

Coverage: Fine Art's:

Email Address