Underwriting questionnaire

Tell Us About Your Coverage Needs

Answer a few questions so we can find the best options for you. Select the type of coverage below to get started.

Homeowners Underwriting Questions

Please provide details about the property you'd like to insure.

Contact Information

First Name *

Last Name *

Email Address *

Phone Number

Property Details

Property Address

City

State

ZIP Code

Home Type

Year Built

Square Footage (approx.)

Number of Stories

Occupancy Type

Year Purchased

Garage Type

Construction & Systems

Construction Type

Foundation Type

Roof Type

Year Roof Last Replaced

Primary Heating Type

Electrical System Type

Plumbing Type

Water Heater Age (years)

HVAC / AC System Age (years)

Security / Alarm System?

Risk Factors

Pool or trampoline on property?

Dogs on the property?

Wood-burning fireplace or stove?

Business conducted on the premises?

Short-term rental (Airbnb, VRBO, etc.)?

Detached structures on property?

Homeowners losses in the past 5 years?

Coverage Preferences

Estimated dwelling replacement cost

Deductible preference

Mortgagee / Lienholder

Is there a mortgage or lien on this property?

Current Coverage & Timing

Current Homeowners Insurer (if any)

Current Annual Premium (approx.)

Desired Effective Date

Additional Notes

Disclaimers

All quotes are subject to underwriting review and carrier approval. Final rates and coverage options may vary based on individual risk factors and carrier guidelines.
Information submitted through this website is used solely to provide insurance quotes, policy guidance, and customer support. We do not sell, trade, or share your personal information with third parties.
Coverage availability, pricing, and policy features vary by carrier. WD Insurance Agency LLC provides options from multiple insurers, and all final terms are determined by the issuing carrier.