Please file every field:
1. Full owner(s) name(s)
2. Birthday
3. Mailing (home) address
4. Occupation
5. Cellphone number
6. Email address
7. Proposed policy effective date
8. Property address you want to insure
9. Building year
10. Purchase price
11. Does the property have a mortgage?
12. Is the property in escrow?
13. Have you had any claim in past 5 years?
14. Is it for rental?
15. Confirm if it’s a short term or long term rental
16. Discounts Offers
a. Do you have central burglar alarm?
b. Do you have central fire/smoke alarm?
c. Do you have water leak detection device?
d. Do you have in-ceiling sprinkler system?
17. Comments:
Please Check your information before you submit.
CA Licence # 0F10196
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VAW Insurance Broker, VAW Insurance, Insurance Broker, Irvine Insurance Broker, Eileen Wang, Irvine Insurance company, Homeowner policy, Commercial Insurance, Commercial property policy, General liability policy, Worker’s compensation, Commercial auto, Business auto, Business owner policy