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Home > Homeowners, Wind, and/or Flood Insurance Courtesy Renewal Questionnaire Form

Homeowners, Wind, and/or Flood Insurance Courtesy Renewal Questionnaire Form

Name: The Turner Insurance Advisor Group
Address: 2121 NE Coachman Road, Clearwater, FL, 33765, US
Telephone: (727) 442-0012

NOTE: Please do not click the back button on your browser as your information will be deleted, and will have to be re-entered.
Do NOT HIT ENTER at ANY TIME or you will close this form. You MUST TAB or CLICK on each Yes or No answer. To type answers, click inside EACH BOX and fill in the information. Once you have completed the form, click submit.
Please Enter Your Policy Number As Listed On The Letter You Have Received:*

*Note: You CANNOT enter multiple policy numbers. Each policy/letter must have its own questionnaire completed*
Have you made any improvements or renovations to your home since you last reviewed the coverage amounts on your policy?
- Yes
- No
Please advise:
Has the occupancy changed?
- Yes
- No
If yes, please advise:
Is the name on your policy the same as that shown on your deed?
- Yes
- No
If you have a mortgage, is the mortgage information shown on your current declarations page correct?
- Yes
- No
Name of Mortage Company:
Address of Mortage Company
Street Address City State / Province / Region ZIP / Postal Code
*Note: Your bank may also submit a request to our website to be added to your policy: www.turnergroupfl.com
Who pays your insurance premium and should get the bill? (If you have a Mortgage/Loan)
- Mortgagee/Bank Pays
- Insured/Self Pays
If you own over $1,000 worth of Jewelry, Furs, Firearms, silver, silverware, goldware, china, etc. these items may not be covered properly under your home insurance policy. Would you like a quote for this valuable coverage?
- Yes
- No
If you own any antiques, fine arts or collections, the items may not be covered properly under your home insurance policy. Would you like a quote for this valuable coverage?
- Yes
- No
Do you work, maintain or operate a business, or keep samples for your business in your home? (Please include baby-sitting, lawn mowing, Tupperware, Mary Kay, etc.)
- Yes
- No
Would you like information on wind mitigation credits if you do not currently have these credits applied?
- Yes
- No
Do you own any water craft?
- Yes
- No
If yes, please describe (Power/Sail, HP, Length)
Do you own any animals?
- Yes
- No
If yes, please describe type and/or breed of animal.
Do you own any additional property (whether or not in the State of (Florida), vacant land, or rent any portion of your home to others (include home sharing services like Air B & B)?
- Yes
- No
Do you own a golf cart, go cart, mini-bike, jet ski, snow mobile or other powered vehicle not registered or separately insured?
- Yes
- No
Does your home have a pool? *Note: If you live at an association, do not need to include pool.
- Yes
- No
If yes, is it fenced or screened?
- Yes
- No
Please review your current deductible amount. Would you be interested in a quotation for different deductible? Please indicate which you would like the quote for:
- Increased Deductibles
- Decreased Deductibles
- N/A
Does your home have:
- A MONITORED Fire Alarm System
- A MONITORED Burglar Alarm System
- Fire Sprinklers
- Storm Shutters
- Fuse Box **please be sure**
- Circuit Breakers
Your homeowners policy DOES NOT provide flood insurance. Would you be interested in a flood insurance quotation if you do not currently have a flood policy? (Remember, you can still purchase flood insurance even if you are in a low-risk zone.)
- Yes
- No
If you have flood insurance coverage already but the limits in the policy are not adequate to replace the structure and/or personal property after a covered loss, would you like a quote for would you like a quote for Excess Flood Insurance coverage?
- Yes
- No
Would you be interested in a quote for Umbrella Liability?
- Yes
- No
Would you be interested in a quote for policy that will eliminate your hurricane deductible?
- Yes
- No
Would you be interested in a quotation for:
- Life Insurance
- Retirement Insurance
- Health Insurance
- Disability Insurance
If yes, please indicate which you would like the quote for:
- Increased Deductibles
- Decreased Deductibles
Would you be interested in a comparative auto insurance quote to to help save additional money? You may also visit our website to submit your current auto information. www.turnergroupfl.com
- Yes
- No
Thank you for taking the time to complete this questionnaire.
Insured’s Signature
Date
Home Phone Number
Work Phone Number
Cell Phone Number
Email Address

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Turner Insurance has helped me look better...Kimberly F., Clearwater, FL

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Simply put, she is AWESOME and provides stellar customer service.A.N., Clearwater, Florida

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Always available to help with any of my insurance related questions.S.J., Clearwater, Florida

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I have recommended Turner in the past and will continue doing so in the future.C.A., Clearwater, Florida

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The Turner Insurance Advisor Group

2121 NE Coachman Road
Clearwater, Florida 33765

Phone: (727) 442-0012

Fax: (727) 446-9147

Mon-Fri: 8:00am-4:30pm
Sat-Sun: Closed

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The Turner Insurance Advisor Group specializes in Auto & Home Insurance, Business Insurance, Homeowners Association (HOA) & Community Association Insurance for all of Florida, including Clearwater, Tampa, St. Petersburg, New Port Richey, Spring Hill, Palm Harbor, Oldsmar, Tarpon Springs, Land O Lakes, and Dunedin.

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