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Liz Earick Dykes
Eric Fisher
2023-03-20T16:32:31-04:00
Liz Earick Dykes
has partnered with Outdoor AdvINSURE to get you the right insurance coverage for your home. Simply enter your information below and Outdoor AdvINSURE will reach out with your quote. It’s that easy!
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Is there a Co-Applicant?
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Co-Insured Name
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Co-Insured Date of Birth
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1984
1983
1982
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1978
1977
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1952
1951
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1940
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1938
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1936
1935
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1932
1931
1930
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1928
1927
1926
1925
1924
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1921
1920
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Unemployed
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Legal
Transportation / Driver
Personal Care / Service
Farming / Forestry
Policy / Public Safety
Military
Construction / Mining
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Finance / Banking
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Education
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Office / Clerical Worker
Technical / Engineer / Science / Research
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Co-Insured: Please specify other occupation
Property Information
Type of Home
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Single Family
Manufactured
Condo
Townhome
Duplex
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How will you use the home?
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Primary Home
Secondary Home
Short Term Vacation Rental (VRBO, AirBnB, etc)
Short Term Rental (Less than 6 months)
Long Term Rental (Greater than 6 months)
Property Address
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Same as Mailing Address?
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Is the property titled in a name other than your personal name(s)?
*
(i.e. Trust, LLC, Corporation, etc.)
No
Yes
Name on title of property
*
Will you have a mortgage on this property?
*
No
Yes
How often do you plan on staying at this secondary home?
*
- Select -
Less than a month per year
1-2 months per year
3-4 months per year
About half the year
More than half the year
Estimated Purchase Price
*
Property Details
Do you know when the roof, plumbing or electrical was last updated?
*
Yes
I don't know
Year roof updated
*
Year plumbing updated
*
Year electrical updated
*
Fireplace Types
*
None
Wood burning fireplace
Gas fireplace
Wood stove
Coverage Information
Desired Coverage Level
*
- Select -
Basic - High Deductibles, Lower Coverage = Lower Premium
Standard - Average Deductibles, Average Coverage = Average Premium
Premier - Low Deductibles, More Coverage = Higher Premium
How much would it take to replace your personal property?
*
Underwriting Questions
Have you had any home/renters claims in the past 5 years?
*
- Select -
0 Claims
1 Claim
2 or More
Have you had any insurance lapse (30 days or more), cancel, or non-renew in the last 3 years?
*
No
Yes
No prior insurance
The following discounts are available. Please check all that apply.
Central Station Fire Alarm
Central Station Burglar Alarm
Water Leak Sensors
Home Security System (Cameras, RING, etc.)
Smart Home
Multi-Policy Discount (Auto + Home)
Paperless Billing
Do you have any pets with a previous bite history?
*
No
Yes
If you have dogs, please list the breed(s).
Does this property have a pool?
*
No
Yes
Pool Options
*
Fenced / Gated Pool
In Ground
Above Ground
Is there a trampoline on the property?
*
No
Yes, with netting
Yes, without netting
Do you conduct business out of your home?
*
No
Yes
Please describe your operations
*
How can we contact you?
How would you like us to contact you?
Phone
Text
Email
When would you prefer to be contacted?
Morning
Afternoon
Evening
Anytime
Consent
*
Like most insurance agencies, we use information from you and other sources, such as your driving and claims histories, a credit based insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium. All the above information is accurate and true to the best of my knowledge.
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