Knight Insurance
1259 S Pine Island Rd
Plantation, Florida 33324
Phone: 954-382-5244
Info@knightinsuranceoffice.com
HOME
ABOUT US
PERSONAL
BUSINESS
GET A QUOTE!
SUPPORT
Name:
Email:
Apartment, Condo & Renters Insurance Quote
Contact Information
Request Quote for:
Please select..
Renters/Apartment
Condo
Townhouse
Zip:
First Name:
E-Mail Address:
Last Name:
Telephone:
Street Address:
S.S.# (optional):
City:
Your occupation:
State:
SELECT
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Date of Birth:
Current Insurance Information
Insurance Company Name:
Policy Exp. Date:
Amt. Contents Insured for:
Current Deductible:
Premium Amt:
Term:
Any Claims in Last 3 years?
General Information About Home
Year home built:
Total Square Feet:
Yrs @ present address:
Liability coverage:
Please Select..
$100,000
$300,000
$500.000
$1,000,000
Medical Payments:
Distance to nearest fire hydrant:
Please select..
Less than 1,000 ft
More than 1,000 ft
Distance to nearest fire department:
Please select..
Less than 5 miles
More than 5 miles
Home Type:
Select...
1 story
1 1/2 story
2 story
Split level
Bi-Level
Other
Home Construction:
Select..
Frame
Brick
Masonry
Other
Roof Type:
Garage Type:
Select..
1 car
2 car
3 car
Car Port
Other
Age of roof:
Garage:
Select..
Attached
Detached
Basement
Other
# of Bedrooms:
# of Fireplaces:
# of Bathrooms:
Exterior:
Select..
Deck
Porch
Patio
Screen Patio
Additional Information
Swimming Pool?:
No
Yes
Pool Fenced:
No
Yes
Diving Board:
No
Yes
Trampoline:
No
Yes
Smoke Detector:
No
Yes
Security System:
None
Monitored
Non-Monitored
Heating System:
Select..
Electric
Gas
Oil
Propane
Other
Fire Alarm:
None
Monitored
Non-Monitored
Replacement cost of personal items:
Any business conducted in home:
List values of any jewelry, furs, or speciality items:
List pets & breeds:
Do you want to include Flood Insurance?:
No
Yes
Exterior doors have deadbolt locks?
Yes
No
Additional Comments
Please give any additional comments you may have or enter any information that did not have enough room for:
Note:
By submitting this form you understand that no coverage is bound until you receive written notice. You also agree to release us from any liability if this information is accidentally viewed by unauthorized persons. We will only use this information for insurance quoting purposes and not distribute to other parties.
Enter the text from the box:
