Homeowners Insurance Quote - HO3 Policy Insurance Rates - Harris, Reed & Seiferth Insurance Group

Type of Home *

Usage Type: *

Primary Secondary Seasonal

Occupancy: *

Owner Tenant

New Purchase? *

Yes No

New Address (If New Purchase) *

Line 1

Line 2

City

State

Zip Code

Country

Year Built *

Square Footage *

Stories *

Construction Type *

Foundation *

Roof Type *

Roof Age *

Garage Type *

Primary Heating *

Bedrooms *

Bathrooms *

Select any additional property features that apply. *

Trampoline Swimming Pool

Is your home located in a flood plain? *

Municipal Location *

Do you need an animal liability endorsement? *

Yes No

Do you have any of the following breeds of dogs: Chow, Doberman, German Shepherd, Pit Bull, Rottweiler, Wolf Hybrid, or a mix of these? *

Have you had home insurance within the last 30 days? *

If so, who was/is your carrier? *

Are you retired? *

Security System *

Fire Alarm *

Select any additional property features that apply. *

Upload a 4pt Inspection for additional discounts *

Max file size: 20MB

Upload a Wind Mitigation Inspection for additional discounts *

Max file size: 20MB

Upload Proof of New Purchase/Prior Insurance *

Max file size: 20MB

When would you like this policy to start? *

Purchase Price *

Personal Liability Coverage Desired *

Desired Deductible *

Have you reported any claims or losses to your insurance company within the past 5 years? *

Will this insurance replace an existing policy? *

Credit Rating *

Need home-share coverage? (I.e Airbnb) *

Yes No

Add Flood Endorsement *

Yes No

Name *

First

Last

Email *

Phone Number *

Date of Birth (MM/DD/YYYY) *

Occupation *

Current Address *

Line 1

Line 2

City

State

Zip Code

Country

Driver's License # *

Name *

First

Last

Email *

Phone Number *

Date of Birth (MM/DD/YYYY) *

Occupation *

Current Address (if different) *

Line 1

Line 2

City

State

Zip Code

Country

Driver's License # *

How did you find us? *

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Home Insurance Quote Request

Complete the details below to request a home insurance quote

Building Information​

Discounts​​​

Policy Information​

Applicant Information​​

Co-Applicant Information​(required if applicable)​​

Social Media

Contact Us

Navigation

Building Information

Discounts

Policy Information

Applicant Information

Co-Applicant Information
(required if applicable)