| Click here If you would like to download and fax your free insurance application. (Fax Number : 888 331 0716).
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| 1. English Version |
| 2. En Espanol Version |
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Application for a Free Wind Inspection
A Program Administered By the Department of Financial Services |
You are eligible to apply if you live in a single-family detached, site-built home. In order for us
to provide information about potential insurance discounts in your inspection report please
have your insurance policy on hand. We will ask you for the amount of your dwelling coverage
(Coverage A), hurricane premium and hurricane deductible, as listed on your Homeowners
Insurance Declarations page.
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* 1. How did you hear about our free wind inspections?
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* 2. If you received a flyer or phone call about our free wind inspections with a
specific code, please provide us with the code:
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* 3. Is the home to be inspected a site-built home?
(A site-built home is built at its permanent and final location.)
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* 4. Is the home to be inspected a single-family detached dwelling?
(A single-family detached dwelling sits on its own lot and is not physically attached
to any other home.)
* Year that home was built
(ex: 2001)
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* 5. Would you like to provide information from an insurance policy that insures your home for hurricane/wind damage?
(Although not required for a free wind inspection, providing your hurricane/wind
insurance information will enable the wind inspection report to give a range of
discounts available for your home and for improvements made.)
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* 5A. If yes, what is the amount of your hurricane/wind insurance coverage?
Please enter numbers only, no commas or dollar signs. For instance, enter $150,000 as 150000
This is found as the Coverage A - Dwelling amount in your policy
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* 5B. If yes, what is your hurricane/wind insurance premium?
Please enter numbers only, no commas or dollar signs. For instance,enter $1,117 as 1117
Please note that your hurricane premium will only be a portion of your total premium, unless you have a wind-only policy
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* 5C. Please provide hurricane/wind insurance deductible as a percentage or a dollar amount.Percentage is preferred
Please enter numbers only, no commas, percentage or dollar signs.
What is your hurricane/wind insurance deductible percent amount?
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* 5D. Choose the name of your hurricane/wind insurance company.
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