Home Insurance Form 1 2 3 Last Page home owner information Last name First Name Date of birth * Gender MaleFemaleX Any claim in past 5 years If yes, please indicate the year. First got home insurance since? Input the year Smoker YesNo Add co-owner CO-owner information Last name First Name Date of birth Gender MaleFemaleX Any claim in past 5 years If yes, please indicate the year. First got home insurance since? Input the year Smoker YesNo × Add new Next home information home address Home size Please input your home size by Sqft（not include basement） Basement finished YesNo Any update for home if home age more than 15 years? Roof update indicate update year Water heater update indicate update year water tank update indicate update year Electical update indicate update year Prev Next Discount Mortgagee? NoneOneTwoMore any central alarm? YesNo do you want to combine auto insurance? YesNo Submit Prev