Rental Property Insurance Questionnaire

Property Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Type of Property

Year Built

Number of Units or Bedrooms

Current Occupancy Status

Construction Type

Does the property have any of the following safety features?

Has the property had any insurance claims in the past 5 years?

Describe any previous claims (if applicable)

Your Name

First NameLast Name

Your Email Address

example@example.com