Shanahan Insurance Agency

Home Insurance Quote from Shanahan Insurance Agency

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Home Insurance Quote Form

To obtain a free, no obligation quote for your home and personal belongings, fill out the form below and we will contact you. If you prefer to give information over the phone, fill in the bold red fields only and we'll give you a call.

Name
Physical Address
City
State
ZIP
Mailing Address
City
State
ZIP
Home Phone
Work Phone
E-mail
Social Security Number

Many of the companies we represent require this information prior to quoting.

Occupation

Have you had continuous coverage for at least 12 months?
Yes No

If not, why not?

Present Insurance Co.

Present Coverage Amount

Renewal Date

Claims in Last 3 Years 0 1 2 3 4+

Square Footage of Living Space

Year Home Was Built

Type

Construction

Foundation

Roof Type

Age of Roof

Garage

OTHER FEATURES

Central Air Conditioning
Wet Bar
Security System
Central Vacuum
Whirlpool Tub

FIREPLACES

# of Chimneys 1 2 3 4 5

# of Hearths 1 2 3 4 5

BASEMENT

Finished? Yes No

DECK, PORCH, PATIO

Deck Square Feet

Porch Square Feet

Screened Patio Square Feet

Enclosed Porch Square Feet

Comments

We are licensed in the following States/Provinces:
IL, IN, AZ, IA, MI, MO, TX, WI, FL