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Home Evaluator
Home Evaluator
Please fill in the form below to the best of your ability. If you need to elaborate on any of the answers and there is not enough room provided, please do so in the additional comments box at the bottom of the form. Most of the questions are mandatory and will not let you submit the form without providing an answer. If you need help, please feel free to
Contact Us
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Indicates required field
Name
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Property Address
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Please provide the civic (physical) address or land location of the property you would like the insurance quote on.
Postal Code
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Please tell us the Postal Code where your home is located.
Email
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Phone Number
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Policy Number (If applicable)
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If you have a current policy with us for this property, please provide the policy number here.
Year Built
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Please enter the year your home was built.
Square Footage of Home
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Please indicate the square footage of all floors not including the basement.
Style of Home
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1 Storey
1.5 Storey
2 Storey
2.5 Storey
3 Storey
Bungalow
Bi-level
Tri-level
Split-level
Back Split
Please choose the style of home. If your exact match isn't listed, choose the closest and the explain what your true "house style" is at the bottom of the form.
Number of Families living in Home
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1
2
3
4
Elaborate Roofline?
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Yes
No
Ceiling Height
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Please Enter the height of your ceilings. If you have multiple heights, enter percentages of each totaling 100%. Example: 60% 8 Ft, 20% 9 Ft, 20% Cathedral
Construction Of House
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Please Enter the type of construction for your home. If you have multiple types, enter percentages of each totaling 100%. Example: 60% 2x4 Walls, 20% 2x6 Walls, 10% Steel Frame, 10% Post & Beam
Foundation Construction
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Please Enter the type of foundation for your house. If you have multiple types, enter percentages of each totaling 100%. Example: 60% Basement, 20% Crawl Space, 20% Slab Other Options: Pier Foundation, Hillside Foundation
Foundation Matieral
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Please Enter the what type of material your foundation is made of. If you have multiple types, enter percentages of each totaling 100%. Example: 60% Concrete, 20% Stone, 10% Brick, 10% Wood
Percentage of Basement that is Finished (if applicable)
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Walkout/Daylight Basement?
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No
Yes
Garage Type
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None
Attached Garage
Detached Garage
Built-in Garage
Basement Garage
Carport
Please indicate the type of Garage you have, if any.
Number of Garage Bays
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None
1
2
3
4
5
Please indicate the number of Garage Bays in your Garage.
Attached Structures #1
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None
Wood Deck
Redwood Deck
Composite Deck
Open Porch
Screened Porch
Closed Porch
Open Breezeway
Screened Breezeway
Closed Breezeway
Greenhouse
Balcony
Screened Pool Enclosure
Indoor Pool
Hot Tub
Swimming Pool
Patio Cover
Solar Room
Attached Barn
Attached Barn - Vintage
Other - Specify in Comment Box below and right
Please choose any additional attached structure you may have and indicate the square footage of the attached structure in the next box
Attached Structures #1 Square Footage
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Please indicate the square footage of the attached structure chosen in the previous box.
Attached Structures #2
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None
Wood Deck
Redwood Deck
Composite Deck
Open Porch
Screened Porch
Closed Porch
Open Breezeway
Screened Breezeway
Closed Breezeway
Greenhouse
Balcony
Screened Pool Enclosure
Indoor Pool
Hot Tub
Swimming Pool
Patio Cover
Solar Room
Attached Barn
Attached Barn - Vintage
Other - Specify in Comment Box below and right
Please choose any additional attached structure you may have and indicate the square footage of the attached structure in the next box
Attached Structures #2 Square Footage
*
Please indicate the square footage of the attached structure chosen in the previous box.
Attached Structures #3
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None
Wood Deck
Redwood Deck
Composite Deck
Open Porch
Screened Porch
Closed Porch
Open Breezeway
Screened Breezeway
Closed Breezeway
Greenhouse
Balcony
Screened Pool Enclosure
Indoor Pool
Hot Tub
Swimming Pool
Patio Cover
Solar Room
Attached Barn
Attached Barn - Vintage
Other - Please specify in Comment Box below and at right
Please choose any additional attached structure you may have and indicate the square footage of the attached structure in the next box
Attached Structures #3 Square Footage
*
Please indicate the square footage of the attached structure chosen in the previous box.
Exterior Wall Coverings
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Clapboard
Clapboard - Redwood
Wood Siding
Wood Shakes
T-111 Siding
New England Shingle
Victorian Scalloped Shakes
Plywood Siding (only)
Barn Planks
Log Siding
Log Siding-Custom
Aluminum Siding
Vinyl Siding
Steel Siding
Stucco on Frame
Stucco on Block
Brick Veneer
Brick Veneer - Custom
Brick and Block
Brick and Block - Custom
Solid Brick
Solid Brick - Custom
Stone Veneer
Stone Veneer - Custom
Stone and Block
Stone and Block - Custom Stone
Stone, Solid, 12"
Stone, Solid, 12" - Custom
Stone, Solid, 18"
Stone, Solid, 18" - Custom
Stone, Solid, 24"
Stone, Solid, 24" - Custom
Adobe
Block (Painted)
Painted Decorative Block
Slump Block
Poured Concrete
4"-6" Concrete Walls
Solid Brownstone
Window Wall
Greenhouse Wall
Cemet Fibre Shingles
Aluminum on Masonary
Cement Fibre Shingle on Masonary
Cement Fibre Siding on Masonary
Clapboard on Masonary
Hardboard on Masonary
New England Shingle on Masonary
Logs, Solid
Steel on Masonary
Vinyl on Masonary
Wood Siding on Masonary
Cemet Fibre Siding
Exterior Insulation and Finish System
Other (specify at right)
Please indicate the type of exterior wall coverings. If more than one type, please indicate percentages totaling 100% in comment box below.
Exterior Wall Coverings Comments
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Wall Covering Materials
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Paint
Sponge Coat
Marble Paint
Vinyl Wallpaper
Foil Wallpaper
Grass Cloth Paper
Ceramic Tile
Imported Ceramic Tile
Marble Tile
Sheet Paneling
Solid Wood Paneling
Tongue & Groove
Millwork
Bookcase Walls
Knotty Pine
Mirrors
Brick Facing
Stone Facing
Terrazzo
Carpet
Corkboard
Pegboard
Other - Specify at right
Please indicate the type of wall covering materials. If more than one type, please indicate percentages totaling 100% in comment box below.
Wall Covering Materials Comments
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Roofing
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Aluminum - Corrugated
Aluminum - Shingle
Aluminum - Standing Seam
Architectural Shingles
Asphalt/Fibreglass Shingles
Wood Shake
Slate
Built up Tar & Gravel
Clay Tile
Concrete Tile
Mission Tile
Spanish Tile
Rubber
Tin
Steel Roofing
Steel - Standing Seam
Copper
Wood Shingles
New England Pine Shingles
Victorian Scalloped Shake
Fibreglass Panel
Plexiglass Roofing
Foam
Hail Proof
Rolled Roofing / Single Ply
Other - Specify at right
Please indicate the type of roofing. If more than one type, please indicate percentages totaling 100% in comment box below.
Roofing Comments
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Flooring
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Carpet over Hardwood (Acrylic/Nylon)
Carpet over Hardwood (Custom Acrylic)
Carpet over Hardwood (Wool Berber)
Wall to Wall Carpet (Acrylic/Nylon)
Wall to Wall Carpet (Custom Acrylic)
Wall to Wall Carpet (Wool Berber)
Vinyl
Ceramic Tile
Ceramic Tile - Imported
Laminated Flooring
Parquet
Plank
Plywood Only
Marble Tile
Mural Tile
Flagstone
Brick
Slate
Terrazzo Tile
Stone
Concrete - Stamped/Textured
Granite
Cork
Rubber
Other - Specify at right
Please indicate the type of flooring throughout your home. If more than one type, please indicate percentages totaling 100% in comment box below. Ex - 50% Hardwood, 50% Carpet
Flooring Comments
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Wall Partion Construction
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Drywall
Drywall - Textured
Plaster
Plaster - Textured
Plaster - Horsehair
Studs Only
Plywood Only
Block
Stone & Block
Brick & Block
Glass Block
Adobe
Solid Brick
Solid Stone
Other - Specify at Right
Please indicate the type of wall partition construction. If more than one type, please indicate percentages totaling 100% in comment box below.
Wall Partition Comments
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Ceilings
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Drywall
Drywall - Textured
Plaster
Plaster - Textured
Plaster - Horsehair
Accoustical
Spray Accoustical Textured
Tounge and Groove
Wood
Millwork
Plank
Tin
Plywood Only
Mirrors
Carpet
Marble
Metal
Stucco Finish
Recessed Lighting
Beams, Wood, Decorative
Other - Specify at right
Please indicate the type of ceiling material. If more than one type, please indicate percentages totaling 100% in comment box below.
Ceilings Comments
*
Kitchens
*
Please enter the number of kitchens in your home - for each, please enter the type of cupboards (ex. pre-finished plywood, wood, custom etc.) and type of counter tops (ex. laminate, granite, tile etc.). Also, please enter any unique additional features in your kitchen.
Bathrooms
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Please enter the type & number of bathrooms in your home: Ex - 1 Kitchen, 1 half bath & 1 full bath **Half bath - toilet & sink; 3/4 bath - toilet, sink & shower; Full bath - toilet, sink & tub/shower** Also, for each please enter the type of cupboards (ex. pre-finished plywood, wood, custom etc.) and type of counter tops (ex. laminate, granite, tile etc.).
Interior Item #1
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None
French Doors (Count each Door)
Hot Tub
Jacuzzi
Sauna
Wet Bar
Vanity - Custom Installed
Metal Sprial Staircase
Wood Spiral Staircase
Ceiling Fan - Average
Ceiling Fan - Custom
Ceiling Fan - Deluxe
Finished Attic
Lift, Wheelchair
Elevator
Other - Specify at right
Quantity of Interior Item #1
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Interior Item #2
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None
French Doors (Count each Door)
Hot Tub
Jacuzzi
Sauna
Wet Bar
Vanity - Custom Installed
Metal Spiral Staircase
Wood Spiral Staircase
Ceiling Fan - Average
Ceiling Fan - Custom
Ceiling Fan - Deluxe
Finished Attic
Lift, Wheelchair
Other - Specify at right
Quantity of Interiror Item #2
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Interior Item #3
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None
French Doors (Count each Door)
Hot Tub
Jacuzzi
Sauna
Wet Bar
Vanity - Custom Installed
Metal Spiral Staircase
Wood Spiral Staircase
Ceiling Fan - Average
Ceiling Fan - Custom
Ceiling Fan - Deluxe
Finish Attic
Lift, Wheelchair
Elevator
Other - Specify at right
Quantity of Interiror Item #3
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Interior Item #4
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None
French Doors (Count Each Door)
Hot Tub
Jacuzzi
Sauna
Wet Bar
Vanity - Custom Installed
Metal Spiral Staircase
Wood Spiral Staircase
Ceiling Fan - Average
Ceiling Fan - Custom
Ceiling Fan - Deluxe
Finished Attic
Lift, Wheelchair
Elevator
Other - Specify at right
Quantity of Interiror Item #4
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Interior Items Additional Comments
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Primary Source of Heat
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Please indicate Primary Source of Heat Ex. Furnace-Electric, Furnace-Natural Gas, Radiant Floor Heat, Baseboard Heaters etc.
Wood Stove(s)?
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No
Yes
How Many Wood Stoves?
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0
1
2
3
4
5
Fireplace(s)?
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No
Yes
Please indicate if you home one or more fireplaces.
How Many Fireplaces?
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0
1
2
3
4
5
Please indicate how many fireplaces you have in your home.
Natural Gas, Wood, Propane
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Please enter what type of fuel each fireplace you have uses.
Air Conditioning?
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No
Yes
Please Indicate if your house has Air Conditioning.
A/C uses same ducts as Heating System?
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No
Yes
Please indicate if you air conditioning uses the same ducts as your heating system.
Monitored Burglar Alarm?
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No
Yes
Please indicate whether your home has a monitored burglar alarm.
Central Vacuum?
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No
Yes
Please indicate whether your home has a central vacuum system.
Monitored Fire Alarm?
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No
Yes
Please indicate whether your home has a monitored fire alarm.
Central Stereo System?
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No
Yes
Please indicate whether your home has a central stereo system.
Specialty Windows
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Please indicate the number of any Bow Windows, Bay Windows, Picture Windows (one pane larger than 30 sq ft), Greenhouse Windows, Stained Glass Windows, Sliding Glass Doors, Skylights & Solar Panels
Additional Comments - Tell us more about your Home!
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Does your home have any additional special features? Tell us what makes your home unique!
Submit