Condo Renewal | Select Underwriters, Inc

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Condominium/Renters Insurance Review Questionnaire

Your policy is scheduled to renew and Select Underwriters Agency would like to update the information on your condo. Please complete this form, you may give us the updated information over the phone at (248) 698-7600, Mon-Fri 8:30-5:00 or email to: [email protected].

This is the only notice that will be sent. if you do not complete and return this questionnaire your policy will be renewed with the same limits per expiring, subject to form changes and exclusions.

Download/Print Questionnaire

Please fill out and submit online OR download and print.

Named Insured *

Property Address *

Have you made any improvements or renovations to your condo since you last reviewed the coverage amounts on your policy? *

Yes

Do you have any Resident Employees? *

Yes

ls The name on the policy the same as that shown on the deed? *

Yes

Do you work, maintain or operate a business, or keep samples for your business in your apartment? *

Please include baby-sitting, lawn mowing, Tupperware, Mary Kay, etc

Yes

Do you own any antiques, fine arts or collections or do you own any of the following that exceeds $1,000 in value? *

Yes

Jewelry *

Yes

Furs *

Yes

Firearms *

Yes

Silver *

Yes

Do you own any watercraft? *

Yes

Power/Sail *

HP *

Length *

Do you own any animals? *

Yes

Description *

Do you own a drone? *

Yes

Description *

Do you own any additional property, vacant land, or rent any portion of your apartment/condo to others? *

Yes

Would you like an Excess Liability or Umbrella Policy to increase your liability limits, in the event of a lawsuit against you? *

Yes

Do you wish to make any changes to your current coverage amounts? *

Contents, improvements and betterments, loss assessment.

Yes

Do you own a golf cart, go cart, mini-bike, all-terrain vehicle or other powered vehicle not registered or separately insured? *

Yes

Would you be interested in a quotation for Life, Medical, Long Term Care or Disability, Medicare Supplement Insurance? *

Yes

Have there been other changes like residency, occupations or size? *

Yes

Cell

Work

Email *

Do you have a preferred method of correspondence?

Thank you for taking time to complete this questionnaire. Please call our office if you would like to discuss any of these items.

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Phone: 248-698-7600
Fax: 248-698-7634
[email protected]

Address

100 N Williams Lake Road, Ste A
Waterford, MI 48327

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