Medical Discount Program

Homeowners Insurance • Cleveland, Ohio

 

In addition to being a requirement of getting and keeping a mortgage, Homeowners Insurance provides security and protection for your property and possessions. This insurance is essentially intended to bring your home and possessions back to their existing condition at the time a loss occurs. There are a number of policy options to consider. Contact our representatives at Thomas F. McManamon Insurance, Inc. to help determine the coverage that includes your mortgage obligations and will also provide you peace of mind.

Homeowners Insurance, Renters Insurance and Condominium Unit Quote Form

Please provide the following information to help us give you a quote.

Proposed Effective Date:
Name:
Spouse Name:
Residence Address:
Residence City:
Residence State:
Residence Zip Code:
Residence County:
Home Phone:
Work Phone:
Email:
Husband SS# :
Wife SS# :
Dwelling Amount:
Construction: Frame     Brick
Year Built:
Deductible Amount:
Alarm System: Yes     No
Liability:

Secondary Residence (if any)

Address:

City:

State:

Zip Code:

Dwelling Amount:

Construction: Frame     Brick
Year Built:
Deductible Amount:
Alarm System: Yes     No
Liability:
 
Personal Articles
Jewelry:
Furs:
Fine Arts:
 

Have any updates been made?  Yes     No

Any claims in the past three years?  Yes     No

Current Insurance Carrier:

    

Final premiums will be established after a thorough review of your needs. Your request for a premium quote does not constitute an agreement to purchase insurance. Likewise, the indication we provide will not constitute an agreement to issue coverage.


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