Jennifer Thompson Renewal Review Form

Jennifer Thompson – Account Renewal Form

Client Questionnaire to confirm renewal information.

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone Number(Required)

Driver Updates

Deductible

If you had a loss, what is the highest deductible you would be comfortable with? *Not all carriers offer $750

$250

$500

$750*

$1000

Other

Occupation(Required)

What do you do for a living? Do you have a home based business? Are you driving for Uber or Lyft, or any delivery service? Or have you recently changed jobs?

Toys

Have you purchased any new toys (Boat, RV, ATV, Motorcycle, or Golf Cart)?

Home Improvements(Required)

Have you made any improvements to your home in the last 5 years? Such as security system, updated roofs, finished basements, trampolines, pools, garages or changed your heating system?

Investment Properties/Home Rental

Do you have investment properties, or do you ever rent your home out?

Gifts, Jewelry, Antiques

Have you recently received or inherited any valuable items? If you are uncertain what we have insured on your current policy please leave a note and we will discuss this together over a call.

Pets in The Home

Please confirm any pets on the premises. Dogs, Livestock, Exotic, etc

Do you own any businesses?

We have a commercial lines division here to assist with your commercial insurance needs.

Confirm Mortgage Company

Comments/Additional Notes(Required)

Please let us know what's on your mind. Have a question for us? Ask away.

Request Your Proposal Here

Are you ready to save time, aggravation, and money? The team at Integrity Personal Insurance is here and ready to make the process as painless as possible. We look forward to meeting you!

Start Here