Annual Home Insurance Renewal Review Step 1 of 6 – Introduction & Contact Information 16% Thank You for Choosing THG Insurance Each year, we review your policy to ensure you continue to receive the best combination of coverage, pricing, and available discounts. Important Disclaimer: Switching insurance carriers always carries some level of risk. Every insurance company has its own underwriting guidelines and reserves the right to approve, decline, or modify coverage after reviewing an application and inspecting the property. Our goal is to complete as much underwriting as possible before submitting your information to minimize issues, but the insurance carrier always has final authority. Please complete the questionnaire below.First Name(Required)Last Name(Required)Property Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Address(Required) Phone Number(Required) 1. What is the current occupancy of the home?(Required) Primary Residence Secondary Residence Secondary Residence with Rentals Investment Property Vacant Is the property rented?(Required) Yes No Is it:(Required) Airbnb VRBO Rental Management Company Self-Managed Long-Term Lease Other (Please specify) Please specify management type:(Required)Approximately how many weeks per year is the property rented?(Required)Please enter a number from 1 to 52.Any additional occupancy details? 2. Does your property have any of the following?(Required) Swimming Pool Diving Board Hot Tub Trampoline Skate Ramp Treehouse Dog(s) Farm Animals Staircases Without Handrails Other Liability Exposure None of the Above Please describe the other liability exposure:(Required)Animal Details (List each animal)(Required)BreedBite History (Yes/No)Bite History Explanation YesNo Add Remove 3. What year was your Roof last updated?(Required)Please enter a number from 1926 to 2026.4. What year was your HVAC last updated?(Required)Please enter a number from 1980 to 2026.5. What year was your Water Heater last updated?(Required)Please enter a number from 1980 to 2026.6. Have you completed any updates or renovations since your last renewal?(Required) Yes No Select all updates that apply:(Required) Electrical Plumbing Kitchen Bathrooms Flooring Windows Siding Other Electrical: Year Completed(Required)Please enter a number from 2025 to 2026.Description of Work(Required)Plumbing: Year Completed(Required)Please enter a number from 2025 to 2026.Description of Work(Required)Kitchen: Year Completed(Required)Please enter a number from 2025 to 2026.Description of Work(Required)Bathrooms: Year Completed(Required)Please enter a number from 2025 to 2026.Description of Work(Required)Flooring: Year Completed(Required)Please enter a number from 2025 to 2026.Description of Work(Required)Windows: Year Completed(Required)Please enter a number from 2025 to 2026.Description of Work(Required)Siding: Year Completed(Required)Please enter a number from 2025 to 2026.Description of Work(Required)Other: Year Completed(Required)Please enter a number from 2025 to 2026.Description of Work(Required)7. Have any of the following changed since your last renewal?(Required) Home-Based Business Solar Panels Detached Structure Home Addition Security System Roof Age Occupancy Address Ownership None Please provide details on the changes selected above:(Required) 8. Does THG Insurance currently insure all of your automobiles?(Required) Yes No Would you like us to provide an Auto Insurance quote to see if bundling could save you money?(Required) Yes No We will reach out for your current Dec Page as well as details for all household members age 14 and above (Name, Date of Birth, and Driver’s License #).9. Do you currently have Flood Insurance?(Required) Yes No Would you like us to provide a Flood Insurance quote?(Required) Yes No 10. Do you currently have an Umbrella Liability policy?(Required) Yes No Would you like us to review whether an Umbrella policy would be appropriate for your household?(Required) Yes No 11. Is there anything else you'd like us to know while reviewing your policy? Certification By submitting this questionnaire, I certify that the information provided is true, complete, and accurate to the best of my knowledge.Use of Information(Required) The information I provide may be used to review my current insurance policy and obtain quotes from other insurance companies. Underwriting Approval(Required) Any new or replacement policy remains subject to approval by the insurance carrier’s underwriting department. Property Inspection(Required) Insurance companies may inspect the property and may approve, modify, or decline coverage based on their underwriting guidelines. Material Disclosure(Required) Failure to disclose material information or changes to the property could affect eligibility, coverage, or claim payments. No Guarantee(Required) Completing this questionnaire does not guarantee coverage, premium savings, or acceptance by any insurance carrier. Certification & Authorization(Required) I certify that the information provided is accurate and authorize THG Insurance to review my insurance options. Full Name (Electronic Signature)(Required)Your NameYour NameYour NameYour NameDate(Required) Δ