Condominium Questionaire - Midwest Underwriters

Midwest Underwriters is a leading, minority held, independent insurance agency in the state of Michigan.

Personal Lines Condominium Questionnaire

Please complete the following form so that we can start the process of completing your quote.

Personal Information
First Name*
Middle Name
Last Name*
Phone #*
Email Address*
Property Address*
Date of Birth*
Social Security #*
Home Information
Present Insurance Carrier
Expiration or Closing Date:*
Year Built:*
Construction Type*
Total Square Footage *
# of Stories*
Built on*
Basement Square Footage*
If Basement *	Finished Unfinished
# of Fireplaces
Type*	Natural Gas
# of Chimneys*
Garage Construction Type
# of Vehicles it Holds or Square Footage*
Garage Type*	Attached Detached
Porches, Balconies, Decks*
Type and Square Footage*
Pools or Hot Tub	Yes No
Protective Devices Please Select	Smoke Detectors Fire Extinguishers Dead Bolts Burglar/Fire Alarm
Additions & Alterations is the value of the condominium, usually from the studs or drywall throughout the inside of the unit. Most associations have this outlined in their contract.
Additions & Alterations*
Content Limit
Deductible
Limit of Liability