Vacation Rental Quote Request Complete the below request form and our team will be in touch ASAP. Effective Date For New Insurance *Is the property held in your personal name or another legal entity (LLC, etc...) *Please select an optionHeld in my personal nameHeld in another entity (LLC or OtherEntity Name *Personal InformationFirst Name *Last Name *Date of Birth *Email Address *Phone *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Property address to be quotedStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *What is your intended use for the property? *Please select an optionPrimary ResidenceSecondary / Seasonal Residence (Select this if you ever occupy the property yourself)100% Rented To Others (Select this if it's a cabin rental you never occupy yourself)Square footage of dwelling: *How many stories will the building be? *Please select an option12345# of bathrooms? *Please select an option12345Year built *Building material *Please select an optionWood frame, with masonry veneerWood frame, with siding (including log veneer)Solid masonrySolid ConcreteSteel frameWhole log home (not veneer)Mobile homeYear roof built/replaced *Roof materialCheck the box for any features present on the property *Basement (below ground)A garageSwimming pool (not including hot tubs)Solar panelsNone of the aboveHow many residential units on the property? *Single Family = 1, Duplex = 2, etc.Check the box for any of the following characteristics of the propertyMobile / Tiny HomeProperty is listed on a historical registryProperty is a whole log cabin (not log siding)Property is built on stilts or in a treeNone of the aboveIs the property currently insured? *Please select an optionNew purchase, so not yetYes, currently insuredNo, not currently insuredHave you had any home, condo or renters insurance cancelled in the last three years? *Please select an optionNo, I have notYes, I haveDo you allow dogs to be present on the property? *Please select an optionNo dogs are allowed on the propertyYes, dogs are allowed on the propertyPlease indicate if either is true about any dogs allowed on the propertyDogs heavier than 25 lbsDogs with any bite or attack historyIs the primary heating source a stove? *Please select an optionNo, the primary heating source is not a stoveYes, the primary heating source is a stoveIs there any business conducted on the property with customers on site (including daycare)?No such business conducted at the propertyYes, such business is conducted at the propertyWe're only asking about business that involves customer foot traffic at the property.Do you use this property for any homesharing program participation (AirBNB, VRBO, etc)? *Please select an optionYes, this property is available for homesharingYes, this property is available for homesharingDo you want earthquake coverage for this property?Yes, please include earthquake coverage on my recommendationNo, don't include earthquake coverage on my recommendationDo you want flood insurance for this property?Yes, please include flood insurance on my recommendationNo, don't include flood insurance on my recommendationAre there any additional insureds? If so, please provide name and mailing address.Lender/Mortgagee InformationIs there a lender or mortgagee on the property? *Please select an optionYes, there is a lender or mortgageeNo, there is no lender or mortgageeLender/Mortgagee Name *Lender/Mortgagee Email *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Additional InformationPlease upload all relevant documents here:Drag and Drop (or) Choose FilesWhat else do we need to know to deliver you an outstanding experience?Communication Consent *I authorize Farmers Insurance to communicate with me using the information provided on this form for the purpose of assisting with my insurance program.. Farmers Insurance is committed to respecting our current and future clients' privacy and communication preferences. So that we may remain compliant with state and federal regulations, we need your expressed permission to communicate with you using phone, text, email, and ringless voicemail as needed.This consent has no time restriction and is offered in perpetuity. You may opt out of all future communication at any time by making your preferences known to us.Farmers Insurance operates by the simple rule of "treat other people the way you want to be treated." Send Request
