Shanahan Agency: Home Quote
Questions marked by * are required.
1. Name *
2. Email *
3. Phone
4. Address
5. City/State/Zip
6. Date of Birth
7. Current Insurance Company
8. Claims in last 3 years
  • None
  • 1
  • 2
  • 3 or more
9. Type of policy you need
  • Homeowner
  • Renter
  • Condo Owner
  • Landlord
10. Year Home Built
11. Number of square feet
12. Home style
  • 1 story
  • 2 story
  • Tri or Split Level
  • Other- explain below
13. Garage or Carport
  • None
  • 1-car garage
  • 2-car garage
  • 3-car garage
  • Detached garage
  • Other- explain below
14. Number of FULL bathrooms
  • 1
  • 2
  • 3 or more
15. Number of 1/2 or 3/4 bathrooms
  • 1
  • 2
  • 3 or more
16. Type of roof
  • Flat
  • Asphalt Shingle
  • Tile
  • Wood Shingles
  • Other-explain below
17. Exterior Wall
  • Frame
  • Stucco
  • Brick
  • Wood Siding
  • Aluminum Siding
  • Other-explain below
18. Fireplace
  • Yes
  • No
19. Deck
  • Yes
  • No
20. Patio
  • Yes
  • No
21. Deadbolts on all doors
  • Yes
  • No
22. Smoke alarms
  • Yes
  • No
23. Fire Extinguisher
  • Yes
  • No
24. Monitored Security System
  • Yes
  • No
25. Contents Coverage Amount (if known)
26. Additional Comments