Homeowner Insurance Quote Request

For the fastest and most accurate automobile insurance quote, please provide as much information as possible in the form below. This information will be kept confidential and will be used for quote purposes only. Please Read Our Online Privacy Policies.

 General Information:
Applicant: *
Applicant Date of Birth:  
Applicant Email: *
Applicant Marital Status:
Street Address:
How Long at Current Address:
City: State: ZIP:
Phone : Home: Other:
Co-Applicant:
Co-Applicant Date of Birth:

 Location Information:
Street Address:
City: State: ZIP:
Is this Your Primary Home?
Year Home Was Built:
Total Square Footage:
Number of Families:
Number of Stories:
Exterior Walls:
   
Distance to Fire Station:
Distance to Fire Hydrant:
   
Year Wiring Updated:
Amp Service:
Year Plumbing Updated:
Type:
Year Heating Updated:
Heating System:
If Oil, Where Tank is Stored:
Year Roof Updated:
Roof Type:
   
Pool:
yes     no
Pool Type:
Wood or Pellet Stove:
yes      no
Fireplace:
yes      no
Animals:
yes      no
   Type of Animal:
   Breed:
   
Smoker:
yes      no
Trampoline:
yes      no
Do you have a home business?
yes      no
   If 'yes', Describe:
Do you have a recreational vehicle?
yes      no
   If 'yes', Describe:
Do you have scheduled items?;
yes      no
   If 'yes', Describe:
Do you have protection devices?
yes      no
Do you have a mortgage?
yes      no
Any claims in the past 5 years?
yes      no
    Details
Any Bankruptcies? Year

 Insurance Coverages:
Dwelling - Liability:
Medical Payments:
Other - Deductible:
* Required
         
 

239 Main Street

Danielson, CT 06239

Phone: (860) 774-1389

Text:     (860) 821-0774

Tap to Call

email: macdins@snet.net



What We Do

Personal Coverage

  • homeowners
  • automobile
  • umbrella liability
  • boats/yachts
  • fine arts
  • motorcycles
  • condo
  • tenants
  • mobile homes
  • motor home
  • flood
  • classic car

 

Business Coverage

  • package policies
  • workmens compensation
  • business automobile
  • general liability
  • property
  • inland marine
  • crime
  • bonds

 

Financial Planning

  • life insurance
  • disability plans
  • IRA
  • pensions
  • individual health insurance
  • group medical insurance
  • annuity