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Renters Insurance

GEDMINAS INSURANCE and FINANCIAL SERVICES

This is not an instant quote website; our prices are too low to list online. Please fill out the quote form to obtain a Renters insurance quote, and an insurance specialist will contact you shortly. Please understand this is not an application for insurance. An application will be sent to you if coverage is desired.

* Required Information

Renters Insurance Fact Finding Questions

Of the following, what is the primary reason you insure your home?	Liability Protection
	Apartment Required
	Replace Personal Property

In regards to your insurance, what is most important to you?	Proper Coverage
	Cost/Premium
	Service

In the event of a lawsuit, accident, or judgment would you want to:	Maximize Protection
	Assume Some Risk

In the event of an untimely death, is it important to you that your surviving spouse and/or children maintain the quality of life you currently have together without debt?	Yes No

Would you be interested in combining your renters and auto insurance to save additional money?	Yes No

Contact Information

What is your name?

First

Middle

Last

Date of Birth

What is your rental address?

Address

Unit #

City

ZIP

What is your contact information?

Home

Work

Fax

* Email

Rental Property Information?

What is the rental unit's Square Footage?

Does the building have interior automatic fire sprinklers?

Yes No

Were there any losses or claims in the last 5 years?

Yes No

Policy Deductible

Personal Property (Coverage Dollar Amount)

Contents Replacement (No Depreciation on Personal Property):

Yes No

Personal Liability Coverage

Would You Like To Combine Auto Policy To Save Money?
(Please Fill Auto Quote)

Yes No

Are you moving here from out of State?

Yes No

Are you in the military?

Yes No

The best time to call?

When Do You Need This Policy to Start?