Personal Lines Review Questionnaire

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PERSONAL LINES REVIEW QUESTIONNAIRE

DWELLING:

Coverage

Needs

Has

Recommended

Accepted

Rejected

Replacement Cost

         

Alarm Credit

         

Earthquake Coverage

         

Inflation Guard Endorsement

         

Flood Coverage

         

Mortgage Cancellation

         

Coverage

         

 

PERSONAL PROPERTY

Coverage

Needs

Has

Recommended

Accepted

Rejected

Replacement Cost

         

Increased Off-Premises

         

Coverage

         

Coverage at Secondary Location

         

Extended Theft Endorsement

         

Credit Card Coverage

         

Incr Cov on Money/Securities

         

Schd. Cov on Furs

         

Schd. Cov on Jewelry

         

Schd. Cov on Cameras

         

Schd. Cov on Musical Inst.

         

Schd. Cov on Antiques, Fine Art

         

Schd. Cov on Silverware

         

Schd. Cov on Stamps/Coins

         

Schd. Cov on Guns

         

Schd. Cov on Golf Equipment

         

Bus. Personal Prop Off-Premises

         

Video Inventory

         

 

LIABILITY COVERAGE:

Coverage

Needs

Has

Recommended

Accepted

Rejected

Professional Equipment Off-Premises

   
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