Homeowners Insurance Quotes - Kinney Pike - Protecting people and businesses in Vermont & New Hampshire for over 100 years

Homeowners Insurance Quote

Thank you for your interest in finding out how Kinney Pike can help you meet your homeowners insurance needs. Please complete this brief questionnaire and a representative will get back in touch with you right away.

All questions must be answered before we can provide you a quote.


To Help Us Get Started
How did you hear about us?
If Other, please specify





Have you had a bankruptcy in the past 7 years?

Policy Holder

Name

Date of Birth

Social Security Number

Email

Phone













Current Insurance Information

Company Name

Expiration Date

Amount of Liability

Earthquake Coverage Desired?

Have you been cancelled for homeowners insurance in the past 3 years?

Current Mailing Address
Address

City

State		Zip

If less than 3 years at this address, please provide previous address:
Address

City

State		Zip

Property Location
Address

City

State		Zip

County
Dwelling Information
Estimated Replacement Cost
Year Constructed

Is the dwelling visible to neighbors?

Number of families in home

What type of home is this?

Type of Construction

Roofing Material

Basement Type

How Many Floors?

Square Footage

Updates to Home?	"Ctrl-Click" Selects Multiple
Approximate square footage of attached structures?

Type of Heat
If Oil, Oil Tank Location

Does the dwelling have a woodstove/fireplace(s)?
Number of Flues

Number of Bathrooms

Does the dwelling have garage?
If yes, is the garage attached or detached?

Updates to home (select all that apply)	Roof Wiring Plumbing Heating Paint Other
If Other, please specify

Other Features
Does the dwelling have a sauna?
Does the dwelling have a hot tub?
Does the dwelling have an intercom system?
Does the dwelling have central air?
Are there smoke detectors in the dwelling?
Are there fire extinguishers in the dwelling?
Are there central alarms in the dwelling?
Are dead bolts installed?
Is there a business on the premises?
Are there any detached structures?
If barn, how old?
If barn, what is it used for?
Number of miles from Fire Department
Number of feet from fire hydrant
Is there a swimming pool?
If yes, in-ground or above ground?
If yes, is the pool enclosed by fencing?
Does anyone smoke in the household?
Are there any dogs in the household?
If yes, specify breed		Age of dog
Are there other animals in the household?
If yes, please specify
Do any of the pets have a history of biting?
If yes, please specify
Does the dwelling have a tree house?
Does the dwelling have a trampoline?
Does the dwelling have farming exposure?
If yes, number of acres



Claims
List any claims/losses in the past 5 years:


Personal Property
Insurance companies have limitations on some items for theft.

Are you interested in including personal property in your coverage; e.g. jewelry, firearms, cameras, computers, furs, silverware, fine arts and breakable items, stamp and coin collections or boats?

Please specify additional items to be covered:









Do you give Kinney Pike approval to run any motor vehicle reports, Clue reports or credit reports?

Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Coverage can only be bound by an agent with a signed application and a down payment.

* If after clicking "Submit Request" the form does not get submitted, review the form and enter any missing information.