Protection Review

Protection Review and Discount Checklist

Please provide the following to help ensure you are properly covered and maximizing discounts!

Name*
First Last
Email*
We want to make your insurance experience smooth and enjoyable so we’d like to tailor our communication to you. Please let us know your preferred method of contact for ongoing communication:*
I currently have the following policies with Forest Park Insurance:*
- Auto Insurance
- Home or Condo Insurance
- Renters Insurance
- Umbrella Insurance
- Boat Insurance
- Life Insurance
- Landlord Insurance
- Recreational Vehicle (travel trailer, motorhome) Insurance
- Motorcycle Insurance
- ATV Insurance
- Other
Do you have any insurance policies not written through Forest Park Insurance?*
Please indicate the type of policy(s) that is not insured with Forest Park Insurance:
Do you drive your vehicle(s) less than 8,000 miles per year?*
If so, how many miles do you drive each vehicle per year:
Do you carry AAA for towing?*
Please provide your AAA member #:
Do you use your vehicle(s) for business or delivery?*
Do you use your vehicle(s) for ride-sharing purposes, such as Uber, Lyft, SideCar, etc?*
Does your vehicle(s) have any aftermarket parts?*
Does your vehicle(s) have a totaled / salvaged title?*
Have you purchased or sold a vehicle recently?*
Do you own a boat, motorcycle, RV, travel trailer or ATV?*
We may be able to add an OEM endorsement which will allow the insurance company to repair your vehicle with Original Manufactured parts rather than aftermarket parts. Would you like a quote for this endorsement, if available?*
Have you updated remodeled your home recently?*
Do you have a burglar alarm?*
If so, is it monitored?*
Do you have any dogs?*
What breed(s):*
Has your dog ever bitten someone?*
Do you have a pool or trampoline?*
Do you have an in-home business or daycare?*
Do you have a woodstove?*
Do you have a sump pump?*
What is your home's heating source?*

EX: electric, gas, oil, etc
Do you have a golf cart, electric bike (e-bike), electric scooter, Segway or tractor?*
All home policies have low coverage limitations for valuable items such as jewelry, fine art, antiques, collectibles, rare items, watches, furs, business property and silver. Do you have any of these items?*
All home policies exclude earthquake, flood, landslide/mudslide damage. Please let us know if you would like a quote for:*
Most home policies exclude damage to the water & sewer lines running from your house to the street. The cost to repair or replace these lines can easily cost thousands however the cost to insure these lines is minimal. Please let us know if you would like a quote to cover the water and sewer lines:*
Have you had more than 1 prior water leak?*
Have you had more than 1 prior sewer line blockage or backup?*
Is the water line longer than 250' from your house to the property line?*
Is the sewer line longer than 250' from your house to the property line?*
Do you share a water or sewer line with a neighbor?*
Is there an oil tank on your property?*
Do you have a pollution liability policy?*
Do you use your home for home-sharing (Airbnb, VRBO, etc)?*
Would you like a quote for term life insurance?*
Have you placed your home or vehicles in a Trust or LLC?*
Please provide the name of the Trust or LLC:*
Would you like a quote for a personal umbrella?*
Liability is what protects you, your assets, property, income, savings, retirement and future earnings from a lawsuit. Without sufficient liability protection your wages could be garnished, a lien placed on your home or be personally sued. Ideally your limit of liability should be sufficient to protect the sum of your assets plus 5 years of household income. What's the best way to protect all that you’ve worked so hard for? With an umbrella policy! But what is an umbrella policy? Simply put, it’s an affordable way to protect yourself if someone sues you for more than what’s covered on your basic insurance policies. An umbrella policy may even cover defense costs of frivolous lawsuits. Defense attorneys charge between $200 - $800 per hour, an umbrella policy could cover this. Who needs an umbrella policy? Because anyone can be sued, everyone needs an umbrella policy. A single judgment can exceed your savings, the value of your home and other assets… risking your FUTURE earnings. Renters are especially vulnerable to judgments that garnish wages. The best news, the average monthly premium for an umbrella is only $20!
If so, would you like to include a quote for excess uninsured motorist coverage?*
Have you updated or remodeled your rental property recently?*
Do you allow tenants to have dogs?*
If so, do you restrict certain breeds?*
Does your rental property have a pool or trampoline?*
Does your tenant have an in-home business or daycare?*
Do you store personal belongings at the rental property?*
Is there a woodstove in the house?*
All landlord policies exclude earthquake, flood and landslide/mudslide. Please let us know if you would like a quote for either of these:*
All landlord policies exclude damage to the water & sewer lines running from your house to the street. The cost to repair or replace these lines can easily cost thousands however the cost to insure these lines is minimal. Please let us know if you would like a quote to cover the water and sewer lines:*
Have you had more than 1 prior water line leak?*
Have you had more than 1 prior sewer blockage or backup?*
Is the sewer line longer than 250' from your house to the property line?*
Is the water line longer than 250' from your house to the property line?*
Is your rental property used for short term rentals or home-sharing / vacation rentals such as Airbnb, VRBO, etc?*
Have you placed your rental property in a Trust or LLC?*
Do you have a sump pump?*
Is there an oil tank on your property?*
Do you have a pollution liability policy?*
Do you use a property management company?*
Do you require a rental application screening (background, credit and past eviction)?*
Do you require your tenant to carry renter’s insurance and keep a copy on file?*
Do you perform regular property inspections?*
Are smokers prohibited in the lease?*
Does the house have a fire sprinkler*
Please provide information on other life changes that may impact your insurance:*
Wedding, new baby, new vehicle, etc

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Protection Review and Discount Checklist