Kauai, Hawaii
(808) 635-0219
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REQUEST HOMEOWNERS QUOTE
Full Name
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Date of birth
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Name of Co Insured if applicable
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Co Insured Date of Birth (if applicable)
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Marital Status
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Single
Married
Separated
Widowed
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Phone
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Email to send quote
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Property Address
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City
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State
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Zip Code
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Any updates to the property in last 10 years?
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Do you or will you be getting an inspection report?
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Current Address
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What is your occupation?
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Any Insurance Claims in the last 5 years?
How will this property be used?
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Primary Residence
Secondary Residence
Short Term Rental
Long Term Rental
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When would you like this policy to be effective?
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Contact Us:
Garden Island Insurance Agency
Lihue HI
Monday - Friday 9 am to 5 pm
(808) 635-0219
