Renters Insurance Questionnaire
The renters insurance questionnaire has to be filled by an applicant who is basically applying for renters insurance. Renters insurance can be a part of an umbrella policy or a standalone basic policy. The renters insurance questionnaire comprises of basic questions that throw light on what an applicant wants to insure and how it will benefit them.
Sample Renters Insurance Questionnaire:
Name of the Applicant: _________________
Address: _____________________________ State: ________ Zip: _________
Phone Number: ______________
Email Address: ______________
Social Security #: ______________________________
Number of Rooms in the house:________ Year built: ________
Q1. Which of the following do you keep in your home?
- Jewelry
- Electronics
- Computers
- Firearms
- Inflammable items
- Rare artifacts
- Others
Q2. Did you have a renters insurance prior to this? If yes, please provide details
- Yes
- No
Previous insurance Number: _________________ Insurance Company:_____________
Q3. Do you own any of the following pet? Please mention breed
- Dog
- Cat
- Horse
- Rabbit
- Turtle
- Fish
- Any other pet:__________________
Q4. Which of the following home security devices have you installed?
- Deadbolts
- Fire extinguisher
- Fire hydrant
- Fire or smoke alarm
- Burglar alarm
- Sprinkler system
- Security cameras
- Motion detectors
- Wireless security systems
Q5. Which of the following discounts are you eligible for?
- 24-hour guard credit
- Age 50 plus credit
- Senior Citizen credit
- Gated community credit
- 2-year claims free credit
- Local alarm credit
Q6. How many members stay in the building or your apartment?
- Single member
- 1-3 members
- 3-5 members
- 5-7 members
- More than 7 members
Q7. Have you made any recent improvements to your home? Please list the nature of improvements
________________________________________________
Q8. What is the amount of content coverage that you require?
$_______________
Q9. What is the amount of liability coverage that you require?
$_______________
Category: Insurance Questionnaire
