Request a landlord insurance quote for a rented house or condo, short-term or long-term. Susman Insurance Agency compares carriers; a licensed agent reviews every request.

1. Name (required)
2. How did you find us? (required; choices: Search engines / Social media / News story / Referral / I am a current client of Susman Insurance)
3. Name of Referral (required; only when applicable)
4. Are you working with one of our Agents? (required; choices: Yes / No)
5. Agent’s name (required; only when applicable)
6. Cell Phone (required)
7. Home Phone (required)
8. Email Address (required)
9. Occupancy (required; choices: long term tenant / short term rental / vacant)
10. Do you have current insurance? (required; choices: Yes / No)
11. With who? (required; only when applicable)
12. Are you being non-renewed? (required; choices: Yes / No; only when applicable)
13. Reason for nonrenewal (required; only when applicable)
14. Expiration date of current policy (required; date; only when applicable)
15. Date of Birth (required; date)
16. Sex (required; choices: Male / Female)
17. Social Security Number (Skip if in California) (optional)
18. Gender (required; choices: Male / Female)
19. Occupation (required)
20. Marital Status (required; choices: Single / Married / Divorced / Widowed)
21. Name of Spouse (required; only when applicable)
22. Cell Phone Number of Spouse (required; only when applicable)
23. Email Address of Spouse (required; only when applicable)
24. Date of Birth of Spouse (required; date; only when applicable)
25. Gender of Spouse (required; choices: Male / Female; only when applicable)
26. Occupation of Spouse (required; only when applicable)
27. Is it short term rental? (required; choices: Yes / No)
28. How long? (required; only when applicable)
29. Is it a long term rental, meaning 1 year or longer per lease term? (required; choices: Yes / No; only when applicable)
30. How much do you charge annually? (required)
31. Does the tenant have any pets? (required; choices: Yes / No)
32. What kind of pets? Also add breeds and bite history (if any) (required; only when applicable)
33. Address (required)
34. Address line 2 (optional)
35. City/Town (required)
36. State/Region/Province (required)
37. Zip/Post Code (required)
38. Country (optional)
39. Address (required)
40. Address line 2 (optional)
41. City/Town (required)
42. State/Region/Province (required)
43. Zip/Post Code (required)
44. Country (optional)
45. Dwelling Style (required; choices: single family / duplex / triplex / fourplex / none)
46. Is there a Basement? (required; choices: Yes / No)
47. What % of basement is finished? (required; only when applicable)
48. Are you in escrow? (required; choices: Yes / No)
49. Closing date of escrow (required; date; only when applicable)
50. How will title be held (insured names, trust, LLC?) (required; only when applicable)
51. How will the property be occupied? (required; choices: Owner / Tenant / Vacant / Short term rental; only when applicable)
52. Purchase price (required; only when applicable)
53. Address (required)
54. Address line 2 (optional)
55. City/Town (required)
56. State/Region/Province (required)
57. Zip/Post Code (required)
58. Country (optional)
59. Have you had any claims in the last 5 years? (required; choices: Yes / No; only when applicable)
60. Purchase date (Month and year only) (required; only when applicable)
61. Purchase price (required; only when applicable)
62. Address (optional)
63. Address line 2 (optional)
64. City/Town (optional)
65. State/Region/Province (optional)
66. Zip/Post Code (optional)
67. Country (optional)
68. Who is the property currently insured with (required; only when applicable)
69. Is your policy currently being non-renewed? (required; choices: Yes / No; only when applicable)
70. Expiration date of current policy (optional; date; only when applicable)
71. Who is listed on the title? (required; only when applicable)
72. Property year built (required)
73. Square footage of home (required)
74. Number of stories (required; choices: 1 / 1.5 / 2 / 2.5 / 3 or more / none)
75. Type of garage (required; choices: Attached - Garage, with no living space above, that is connected to the home. / Detached - Garage or carport that is not connected to the home. / Basement - Garage entrance is on the same level as the basement. Only found in homes with a basement foundation. / Built in - Garage, with living space above, that is connected to the home on the ground level or first level. / Carport - Covered structure that is not enclosed which is attached to the home. / None - Do not have a garage.)
76. Number of cars (required; choices: 1 Car / 2 Cars / 3 Cars / 4 Cars / 5 Cars / none)
77. Type of roof (required; choices: Architectural Shingle - Also known as dimensional or laminated shingles with a more textured look than asphalt-fiberglass. / Asphalt-Fiberglass- Shingles of uniform size and shape with a grit texture. Also known as 3-tab shingles / Clay or Concrete Tile -Tiles including Spanish or mission tiles. Typically found in the Southwest. / Slate - Shingles made of hard rock. Typically found on older homes. / Metal - Roof covering made of steel, aluminum or copper. / Wood - Shingles or shakes made of wood. Typically found on a sloped roof. / Comp Over Wood - Shingles or shakes made of wood with a layer of asphalt or architectural shingles on top. / Modified Polymer - Roof covering made of asphalt reinforced with plastic or rubber. / T-Lock - Shingles that interlock to resemble the letter "T". / Asbestos - Typically found in the Southeast. Could contain algae stains.)
78. Roof shape (required; choices: Gable - Has "A" frames. This is a common shape. / Hip - Has 4 sides that slope down to the outer walls of the home. Resembles a pyramid shape. / Gambrel - Resembles a barn shape. / Flat - Has little or no slope. May be covered in tar, gravel, rolled, or built up material. / Shed - Has 1 slope. May be known as a half-gable roof. / Complex - Has multiple levels, slopes, angles or styles.)
79. Siding Type (required; choices: Vinyl - Plastic material. Commonly used in newly built homes. / Aluminium/Steel - Metal material. / Brick/Masonary Veneer - Brick veneer or concrete veneer finish. Typically on frame construction. / Cement Fiber - Composite material made of sand. cement and cellulose fibers. / Clapboard - Wood boards attached in overlapping, horizontal rows. Also called lap siding, weatherboard, or bevel siding. / Stone Veneer - Stone veneer finish. Typically on frame construction. / Stucco - Cement type finish. / Wood - Hardwood material such as shingles or shakes. Excludes clapboard. / Adobe - Clay material. Typically found in the Southwest. / Asbestos - Cement siding type that contains asbestos, was popular from the 1920's to 1960's. / Exterior Insulation (EIFS) - Exterior insulation and finish system resembling stucco.)
80. Number of bedrooms (required; choices: 1 bedroom / 2 bedrooms / 3 bedrooms / 4 bedrooms / 5 bedrooms / 6 bedrooms / none)
81. Number of full bathrooms (required; choices: 0 / 1 bathroom / 2 bathrooms / 3 bathrooms / 4 bathrooms / 5 bathrooms)
82. Number of half bathrooms (required; choices: 0 / 1 half bathroom / 2 half bathrooms / 3 half bathrooms / 4 half bathrooms / 5 half bathrooms)
83. Number of fireplaces (required; choices: 0 / 1 fireplace / 2 fireplaces / 3 fireplaces)
84. Foundation type (required; choices: slab / crawlspace / post and pillar / basement)
85. Flooring type (% of Hardwood, tile, carpet, marble) (required)
86. What year was the roof updated? (required)
87. What year was the electrical system updated? (required)
88. Is the property on circuit breakers? (required; choices: Yes / No)
89. What year was the plumbing updated? (required)
90. What year was the heating/air conditioning updated? (required)
91. Is there a pool? (required; choices: Yes / No)
92. Is pool or yard fenced? (required; choices: Yes / No; only when applicable)
93. Does the home have a burglar alarm system? (required; choices: Yes / No)
94. Type of burglar alarm? (required; choices: Local -The alarm is heard in your premises, only. / Central - A system that notifies a third party monitoring company that contacts you, police, fire, or other emergency service. / Smart - A system that notifies you through email, text message or a mobile application.; only when applicable)
95. Does the home have a fire alarm system? (required; choices: Yes / No)
96. Type of fire alarm? (select all that apply) (required; choices: Local -The alarm is heard in your premises, only. / Central - A system that notifies a third party monitoring company that contacts you, police, fire, or other emergency service. / Smoke Detector - Not applicable for tenant. / Smart - A system that notifies you through email, text message or a mobile application.; only when applicable)
97. Does the home have interior fire sprinkler systems? (required; choices: Yes / No)
98. Water leak detection? (required; choices: No / Valve Closure / Central Monitor / Valve Closure with Central Monitor)
99. Do you have solar panels? (required; choices: Yes / No)
100. How many solar panels? (required; only when applicable)
101. Are they owned or leased? (required; choices: owned / leased; only when applicable)
102. Household employees? (required; choices: Part time help / Full time help / Live in help / None)
103. Would you like to schedule any high value items? (required; choices: Jewelry / Fine Art / Collectible items / Purses / None)
104. Jewelry amount (required; only when applicable)
105. Would you like a quote for auto insurance to get multi policy discount? (required; choices: Yes / No)
106. Also quote the following (required; choices: Flood insurance / Mortgage protection insurance / Life Insurance / Business Insurance / Other / None; only when applicable)
107. Additional remarks (optional)
108. Attach current home or auto dec sheet, mortgagee info or alarm certificates (required; choices: Yes / No)
109. File upload (required; only when applicable)
110. Would you like a quote for Earthquake Insurance? (required; choices: Yes / No)
111. Would you like a quote for Flood Insurance? (required; choices: Yes / No)

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