Renewal Review Personal Lines Step 1 of 5 20% Contact InformationPlease Provide All Information Below, This Will Allow Us To Verify That We Have The Most Current & Up To Date Information In Your File.Name First Last PhoneEmail Address Street Address City State / Province / Region ZIP / Postal Code Do you consent to receiving text messages from Eastman Insurance Solutions* Yes No Auto Insurance SectionHave you purchased or sold any unreported vehicles in the last 12 months?NoYesPlease Describe Are their any additional members of your household that are licensed drivers, but are not currently drivers on your auto insurance policy?NoYesPlease Describe Has the usage of any vehicle changed? (Vehicle used for work is now pleasure use, distance driven to and from work has changed, company provided vehicle etc.)NoYesPlease Describe Are any Vehicles on your policy used for Lift/Uber* No Yes Any recent life changes that would require us to reexamine the limits of coverage you are carrying on your auto insurance policy?NoYesNot Sure, Please Contact Me To DiscussPlease Describe, If you would like to discuss further, please provide the best time of day and way to contact you. If we currently do not have your homeowners or renters insurance, would you like us to provide you some options?* No Yes Already Insured With You Homeowners SectionHave you made any additions or improvements to your home?NoYesPlease Describe Have you purchased any Jewelry, Firearms, Fine Art, Collectibles or any other items of intrinsic value that we need to schedule on your insurance policy?NoYesI am not sure, please contact me to discussPlease Descibe, If you are not sure, please provide the best time of day and way to contact you. Added any new Pets to your home?NoYesPlease Describe Do you have a home based business?NoYesPlease Provide The Details Of The BusinessDo you own any real estate not insured with us?NoYesAny recent life changes that would require us to reexamine the limits of personal liability you are carrying on your home insurance policy?NoYesThird ChoicePlease Describe If we currently do not have your auto insurance, would you like us to provide you with an auto insurance proposal?* No Yes Already Insured With You Additional Lines Of Insurance AvailbleWe never want to take your insurance needs for granted and strive to provide value to our clients from a 360 approach. Here are some of the most common insurance polices we offer, if you would like to speak in more detail, please complete the questions below. Would you like us to provide you with a proposal for Umbrella Insurance?* No Yes Would you like us to provide you with a proposal for Flood Insurance?* No Yes Would you like us to provide you with a proposal for Earthquake Insurance?* No Yes Would you like us to provide you with a proposal for life Insurance?* No Yes If you own a business, would you like us to provide you with a proposal for your business Insurance?* No Yes Feed BackWe are constantly striving to become better at what we do, if you could take a moment any provide us with some feed back with your interaction with our agency, that would be most helpful. How can we better serve you moving forward?What is something that we do well?What is something that we need to improve upon, and how would you recommend us doing that?
