359 Main Street, Haverhill, MA 01830

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Homeowners Insurance Quote

Homeowners Insurance Quote – Cowan Insurance Agency

Call Cowan Insurance Agency today to speak with a real person and get immediate service 978-372-1451. To apply for a quote via our website, simply provide the following information.

For your protection and security, the information you provide is sent to us via a secured server. Please fill out this form as completely as possible to ensure an accurate request. ** Please note, this form is for new quotes only. If you are existing client please contact your representative or click here to complete our contact form.

Quote - Personal Homeowner Insurance (Done)

Personal Information

First Name *

Last Name *

Phone *

Email *

Date of Birth *

Your Address *

Your Address

City

State/Province

Zip/Postal

Desired Coverage Information

Dwelling Amount *

Coverage A

Other Structures *

Coverage A

Personal Property *

Coverage C

Loss of Use *

Coverage D

Premise of Liability *

Coverage E

Property Information

Property Address (If different From Your Address Above)

City

State/Province

Zip/Postal

Number of Families? *

Dwelling Type?

Square Footage

Year Home Built?

Do you conduct any business from your home?

Yes

Describe any claims you have had over the past four years.

Do you have a pool? *

Yes

What type of pool?

Above Ground

Inground

Does it have a diving board?

Yes

Does it have a slide?

Yes

Is the pool fully fenced in?

Yes

Do you have a trampoline? *

Yes

Do you have an alarm system? *

Yes

Is your alarm system monitored?

Yes

Heating system fuel & type? *

Oil tank location? *

If Applicable

Do you have an annual service contract on your heating system? *

Yes

Do you have a wood stove or other supplemental heating device? *

Yes

Age of hot water heater? *

Is your electrical 100amp breakers or better? *

Yes

Year of electrical update?

Is your plumbing all copper & pvc? *

Yes

How old is your roof? *

Miscellaneous

Do we have authorization to run your credit score? *

Yes

Signature (Please write your signature with your mouse or type it) *

Clear

Questions or comments

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If you have more than 1 residence, please fill out another form.

Please Note: Insurance coverage cannot be bound without a written binder from our office.

Please Note: If you have any jewelry, furs, silverware, fine arts or other items of value over $500 they may need to be scheduled on your policy.

Please Also Note: Many insurance carriers use information gathered from you and outside sources about your claim, credit history and home. This information allows insurance companies to determine accurately the proper price to charge. You are entitled to a free copy of the reports by contacting the appropriate consumer reporting agency within the next 60 days.

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Contact Cowan Insurance Agency, Inc.

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359 Main Street, Haverhill, MA 01830
Phone: (978) 372-1451 or (800) 875-1541
Fax: (978) 521-4669

Office Hours:
Monday-Friday 9am-4pm

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