Underwriting For Home Insurance
Property Application
Who Called/Emailed
Effective Date
Has ezITV
Yes
No
Business Exposure?
Yes
No
Relation between insureds:
Number of occupancy
Sewer Backup Coverage
Yes
No
Credit Consent
Yes
No
Require Underwriter’s Approval
Yes
No
Underwriter Comment
Coverage Declined
2M Liability
Overland Water
Other
Confirm no scheduled items listed
Yes
No
Combined Policy
Yes
No
Group Discount
Yes
No
Sewer questionnaire
No
Yes
Not Applicable
Rented Dwelling questionnaire
No
Yes
Not Applicable
Additional Notes
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