WE RESPECT YOUR PRIVACY

Your privacy is important to us. Waguespack Insurance considers the protection of your personal information to be a primary goal. We respect your right to keep your personal information confidential.

We collect information in order to quote and service your insurance policy. This information is used only by our company and is not shared with any other vendor from which you could receive a solicitation.

Waguespack & Associates uses Secure Sockets Layer (SSL) protocol to interact with you when you provide personal information during the purchase and payment processes. We handle your information via 64-bit encryption. Every secure page has been secured with a digital certificate generated by COMODO Security. To view this certificate, click on the image of the "closed lock" or the "solid key" on the bottom of your browser window. A small frame displaying site security information will appear.


AS AN INDEPENDENT INSURANCE AGENCY...

we do not work for an insurance company; we work for you. We work on your side when you have a loss and follow through to see that you get a fair, prompt payment.

 

 

Homeowners Insurance Quote Form
To request a quote, please complete the form as completely as possible. If currently insured, your policy's declaration page will have much of the needed information. Type "unsure" in any required field in which you aren't sure of the answer. Your information will be forwarded to our agents, and all information is transferred securely and will be kept confidential.


Contact Information

Name
Street address
City
State
Zip Code
Daytime Phone
Evening Phone
FAX
E-mail Address

Insurance Policy Information

Are you currently insured? CHECK ONE Yes        No*
*If No, please give reason not insured currently. i.e.: First time insured, policy canceled 3 mo's ago, etc.
If yes, by what company?
Policy expiration date?
Length of time continuously insured


Current Home Owner Coverage's:

Dwelling Value (Value)

Property Coverage Deductible
Comprehensive Liability Amount

Choose one of the following options:

Medical Payments
Guaranteed Replacement Cost Coverage
Flood Coverage

Tell us about your house:

Construction Type
Type of House
Security System
Year the house was built.

Optional

By providing it we are able to give you a more accurate quotation.
Number of Stories
Ground Floor Square Footage
Shape of House (number of corners)
Attached Garage
Number of Bathrooms
Family Room
Sun Room
Separate Dinning Room
Number of Fireplaces
Hardwood Floors
Central Air Conditioning
Large Laundry Room
Central Vac System
Video Entry System
Sauna
Hot Tub
Jacuzzi Bath
Dishwasher
Range Hood Vent
Garbage Disposal
 

Additional Comments

 

Provide any additional information or comments below.