Hannum Insurance Agency, Inc.
Home
Quotes
Homeowners Quote
Automobile Quote
Watercraft Quote
Health Quote
Motorcycle Quote
Renters Quote
Endorsements
Property Endorsement
>
Address Change
Mortgagee Change
Scheduled Items Change
All Other Property Changes
Auto Endorsement
>
Address Change
Vehicle Change
Driver Change
Lienholder Change
>
Add Lienholder
Change Lienholder
Delete Lienholder
Coverage Change
>
Add Coverage
Delete Coverage
All Other Auto Changes
Report A Claim
Auto Glass Claim
Auto Claim
Property Claim
Request Documents
Request New ID Cards
Request A Certificate
Request A Policy Declaration
Contact Us
About Us
Our History
Our Staff
Our Companies
Other Services
Social Media
Feedback
Renters Quote
Personal Information
Name
*
First
Last
Current Mailing Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
We will not send advertising or promotions to your email. It will only be used for answering questions, sending forms, or other business items.
Date of Birth
*
Social Security Number
*
Marital Status
*
Single
Married
Divorced
Widowed
Spouse's Personal Information
Spouse's information is
required
if you are married.
Spouse's Name
*
First
Last
Spouse's Mailing Address (If Different)
*
Line 1
Line 2
City
State
Zip Code
Country
Spouse's Phone Number
*
Spouse's Date of Birth
*
Spouse's Social Security Number
*
Home Information
Location Address
*
Line 1
Line 2
City
State
Zip Code
Country
Year Built
*
Number of Units
*
Square Footage
*
Foundation Type
*
Number of Baths
*
Is it air conditioned?
*
Yes
No
Type of Heat
*
Building Type
*
Frame
Masonry
Other
Required Information
If you meet the criteria for any of the following questions, you are
required
to answer it.
Is there any fireplaces, woodburners, or other solid fuel devices?
*
Yes
No
If yes, please specify what kind and how many of each.
*
Any outbuildings?
*
Yes
No
If so, please provide the type and square footage.
*
Do you own a tampoline?
*
Yes
No
If so, is there a net?
*
Yes
No
Do you have any pets?
*
Yes
No
If so, please list the type and breed of each pet.
*
Do you have a renters policy?
*
Yes
No
If so, provide the current company and policy expiration date.
*
Other Information
If you meet the criteria for any of the following questions, you are
required
to answer it.
What deductible would you like?
*
$2,500
$1,000
$500
Have you or your spouse declared bankruptcy in the past 10 years?
*
Yes
No
Have there been any claims in the past five years?
*
Yes
No
If so, please provide information on what the claim was about.
*
Submission
An agent will contact you within one business day after you click submit.
Additional Remarks
*
Anything else you would like us to know about.
Submit
Home
Quotes
Homeowners Quote
Automobile Quote
Watercraft Quote
Health Quote
Motorcycle Quote
Renters Quote
Endorsements
Property Endorsement
>
Address Change
Mortgagee Change
Scheduled Items Change
All Other Property Changes
Auto Endorsement
>
Address Change
Vehicle Change
Driver Change
Lienholder Change
>
Add Lienholder
Change Lienholder
Delete Lienholder
Coverage Change
>
Add Coverage
Delete Coverage
All Other Auto Changes
Report A Claim
Auto Glass Claim
Auto Claim
Property Claim
Request Documents
Request New ID Cards
Request A Certificate
Request A Policy Declaration
Contact Us
About Us
Our History
Our Staff
Our Companies
Other Services
Social Media
Feedback
UA-99323310-1