Home Owner's Insurance

Reed & Baur works with multiple insurance companies to provide you with the best coverage on your home insurance at a competitive rate.. Got a condominum? No problem. We'll do what it takes to get you on board and keep you there!

Please take a moment to provide us with your information using the form below and we'll find the best deal for you. All fields are optional and if you're in a hurry just fill out the first section. One of our friendly agents will contact you shortly. Thank you!

Home/Condo/Apartment Quote Form
Section A
Date	May 16th, 2008
Name
Phone
Email Address
Address

City

State

Zip

Groups & Associations discount?

None Partner-School employee Athens Chamber member American Legion OH Cattlemen's University Estates

Property location (if different)
Township
County
Validation Code
Please enter the 5 character verification code:
Only click here if you're NOT filling out Section B below.

Section B
Year built		Number of families

Responding fire dept.

Distance to fire dept.

miles

Distance to hydrant

feet

Property type	primary seasonal rental	Primary heat source	electric gas (tank) gas (line) oil wood other
Used for business?	Yes     No	Sq. footage
Number of stories		Basement	none finished unfinished partial-finish

Does the unit have any of the following? wood burning stove   fire extinguisher   fireplace   trampoline smoke detector(s)   deadbolt locks   pool   air condition pets (types )

If older home (25+ yrs) any updates done (indicate year) wiring (year ) plumbing (year ) heating (year ) roof (year )

Coverage needed dwelling $ other structures $ contents $ loss of use $ liability $ medical pay $

Previous carrier

Policy #

Any losses in the past 3 years?

Leinholder?

Date of birth	//	Marital status
Occupation

If married
Spouse's DOB		//
Validation Code
Please enter the 5 character verification code: