Flood Insurance

	Personal, Commercial, Tenant and Owner occupied property are eligible under the flood program. This program provides coverage under the National Flood Insurance Act of 1968. Click here for facts about Flood Insurance from N.F.I.P. All quotations are estimated until we can verify the elevation (elevation certificate) and conduct a physical inspection for obstructions or unvented enclosures. You can fax your elevation certificate to 609-399-8681. Buildings built prior to 1974 may be written without an elevation certificate, however, certificates may help to reduce the premium. If you want a quote for property coverage as well as flood, please complete the general property form. You can use this form as a preview of the questions we will ask you about your property. If you wish, you can complete and submit the form. Your inquiry is sent by e-mail and distributed to the appropriate underwriter. You may contact an underwriter by e-mail or phone at any time -CLICK HERE TO CONTACT US
	Contact Information
	First Name :
	Last Name:
	Phone Number:
	Fax Number:
	E-Mail Address:
	Property Information
	Property Address:
	Property City:
	Property State:
	Property Zip Code:
	Dwelling Type:
	Community Flood Number	(Optional: see elevation cert)
	Garage Description:
	Year Built:
	How Many Stories:
	If Two Stories, Ground Floor Square Footage:
	Total Square Footage of Your Dwelling:
	Does The Dwelling Have A Basement?	yes no
	Construction Type:
	Foundation Type:
	Current Insurance Company:
	Expiration Date of Current Insurance Policy:	(Enter settlement date if new purchase)
	Coverage Information
	Building Amount:
	Contents Amount:
	Policy Deductible:
	When you have competed the form, please press the Submit Button ONLY ONE TIME. Wait a few moments for an online acknowledgement. You will be contacted to discuss the quote you requested. Thank you for your inquiry.

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