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State of Maine
Renters' Insurance
Online Quote Request
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A service of Blake, Hall & Allen Insurance
170 Ocean Street South Portland, ME 04116-2403 (207)799-5541
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Please provide the information below to receive a
Renters' Insurance Quotation.
This service is currently available only for properties in the State of Maine.
We will email your quote, usually within one business day.
Submit as many optional quote requests as you would like.
To ensure accuracy, and to reduce your entry time,
have your current policy in front of you, if you have one.
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City, (State of Maine only), ZIP:
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Home
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Work
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(Having your current insurance policy in front of you will greatly reduce the time it takes to complete this form.)
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Name of your current insurance company:
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Current Amount of Insurance
On Contents ("Coverage C" on your policy):
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Current Amount of Liability Insurance
("Coverage E" on your policy):
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How many units in your building?
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Discounts and Other Information:
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Have you made any homeowners claims in the last three years?
(e.g. theft, water damage, wind, liability)
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Yes
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No
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If "yes", please provide
details in "remarks" below.
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Does anyone in the household smoke?
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Yes
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No
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Dog(s)
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Do you have any of the following?
(Please check all that apply, and provide details in "remarks" below)
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Woodstove
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Trampoline
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Name of your employer(s):
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Yes
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No
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Is any business conducted
on the property?
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If "yes", please provide details in "remarks" below.
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Optional Coverages:
(Select as many as you desire)
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Replacement Cost Contents
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Guaranteed Replacement Cost for Dwelling
(may not be available for homes over 40 years old)
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Scheduled Personal Property:
(select type of property and indicate total value in remarks" below.)
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Jewelry
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Fine Arts
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Silverware
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Firearms
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Furs
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Computers
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© Blake, Hall & Allen Insurance
170 Ocean Street
South Portland, ME 04116-2403
(207) 799-5541 (800) 373-5541
Maine Resident Producer Agency #AGR29506
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