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Main Menu
Home
About
Services
Menu Toggle
Home Insurance
Flood Insurance
Auto insurance
Life Insurance
Individual Health Insurance
Long Term Care Insurance
Annuities
Disability Insurance
Employee Benefits
Executive Benefits
Blogs
Testimonials
Get A Quote
(813) 776-1542
info@epolicyreview.com
get a quote
get a quote
Home
About
Services
Menu Toggle
Home Insurance
Flood Insurance
Auto insurance
Life Insurance
Individual Health Insurance
Long Term Care Insurance
Annuities
Disability Insurance
Employee Benefits
Executive Benefits
Blogs
Testimonials
Get A Quote
Main Menu
Home
About
Services
Menu Toggle
Home Insurance
Flood Insurance
Auto insurance
Life Insurance
Individual Health Insurance
Long Term Care Insurance
Annuities
Disability Insurance
Employee Benefits
Executive Benefits
Blogs
Testimonials
Get A Quote
Flood Insurance
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
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Enter your home address to start your quote
Is this for new purchase or existing home?
New home
Existing purchase
Is lender requiring flood insurance.?
*
Yes
No
Name of lender & contact information
Address of property requesting flood insurance
*
Address Line 1
City
State / Province / Region
Next
How long have you been at this address?
This will help us get an accurate quote
Years at address
*
Less Than 4 Years
More Than 4 Years
Enter address
*
Address Line 1
City
State / Province / Region
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Next
Let's get some details on the property you're looking to insure
Type Of Home
*
None of these
Single family
Condo
Townhome
Mobile Home
Manufactured Home
Multi Family 1-4 units
Occupancy
*
Primary Home
Seasonal
Vacant
Secondary home i own
Secondary home i rent
Number Of Stories
*
1
1.5
2
2.5
3
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Next
Whose name will be on this policy?
We need this information to get you an accurate quote
Name
*
First
Last
Date Of Birth
*
Marital Status
*
Single
Married
Separated
Divorced
Widowed
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Next
Do you currently have flood insurance?
Has Flood Insurance
*
Yes
No
Upload current policy
Click or drag a file to this area to upload.
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Next
Have you had any Flood Claims in the last 10 years?
We need to know if there have been any flood claims relevant to this address.
*
Yes
No
Need date of loss & amount of loss
*
Currently insured with Citizens & required to have flood Insurance
*
Yes
No
Next
Roof original to home
Yes
No
Year of last Plumbing update?
Year of last electrical update?
Year of last water heater update.
Water heater Tank or tankless
Tank
tankless
Location of water heater
Choose
Garage
Attic
Inside utility closet
Outside
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Name
*
First
Last
Email
*
Phone number
Consent
*
I grant permission for Epolicyreview.com & John Galt Insurance and its, Agent’s, representatives, relevant affiliates, and subsidiaries to communicate about my insurance needs today and in the future. I also grant permission for all relevant parties to speak with my realtor and/or Loan Officer/ about my insurance needs. Epolicyreview.com are service partner affiliates with John Galt Insurance but are wholly separate, non-affiliated businesses with each other.
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