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Home > Umbrella > Ramsburg Family Insurance Review
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Ramsburg Family Insurance Review


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

First Name *
Last Name *
Social Security Number
E-Mail Address *
E-Mail Address *
Home Phone Number *
Work Number
Cell Phone Number
Occupation
Highest Level of Education
ZIP / Postal Code *
Number of Household Residents
Spouse Name
Spouse Email
Work Number
Cell Phone Number
Occupation
Preferred method of contact



Homeowners Coverage
Have you or are you planning on investing $15,000 or more in renovating your home? (Interior or exterior)

If yes, projected or finished date of renovation.
/ /
Please provide approximate years of updates or repairs to the following:
Plumbing System *
Type of Plumbing
Type of Fuel
Electrical System *
Roofing *
Roof *
Exterior
Do you have any supplemental heat such as a wood, coal, pellet or gas stove?

Does your home have a security system?

Is your basement Finshed ?

If Yes, Approximate value of the finished area
Do you have a sump pump? *

If yes, Do you have a water intrusion alarm or battery back up?

Do you have any structures on the property that are not attached to your home—such as a garage, pool house, cabana, gazebo, pergola, sports court, and outdoor living area (built in barbeque or rock/masonry seating areas)? *

Do you own any boats, jet skis, recreational vehicles, snowmobiles, ATV’s or golf carts? *

Do you own any items valued over $1,000? (i.e. Furs, Fine Arts, Guns , Coins, Other Collectible Items) *

Do you have professional tools or equipment on your premises for business use? *

Do you have a pool on your property? *

If yes, is it an In-ground or Above-ground pool?

Is the pool fenced or have a locking or removable ladder?

Do you have any pets? *

If Yes , What type of pet(s):
Do you have a ..... ?
Trampoline *

Skate Ramp

Tree House

Other Recreational Structure

Are any of your children attending school away from home? *

If yes, number of students attending school away from home:
On or off campus?

Do they have high value items with them at school?

Have you refinanced or paid off your home? *

Are any members of your household living in an assisted living facility?

Do you have a vacation home or 2nd residence?

Automobile Coverage
Have you acquired any new vehicles not listed on your policy?

Do you have a Company Car?

Do you car pool?

Do you own any Trailers?

Do you have any children attending school away from home that have a vehicle with them?

If yes, please list child, college attending and which vehicle
Do you own any vehicles that are insured with another carrier that is not insured with our agency?

Important Concerns
Have you made any major lifestyle changes that might alter your insurance needs? Marrying, Divorcing or Retiring?

Have you changed the ownership structure on your property? (Started a Trust or an LLC?)

If you have Life Insurance, do you have enough coverage to pay off your home mortgage?

Do you have Long Term Disability Insurance to Protect you family if you were disabled?

Are you interested in protecting your retirement assets with Long Term Care Insurance?

Ask yourself, “How will my family manage financially if I die?” We have affordable insurance plans and life insurance rates have dropped significantly within the past few years.
Do you have the protection that your family will need to maintain their lifestyle or pay for college? When was the last time you had a financial check-up?
Additional Notes, Information & Instruction
Date Submitted *
/ /
Submission Validation
Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
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12955 Cleveland Ave. NW | Uniontown, OH 44685 | 330-699-2223
154 South Cleveland Ave | Mogadore, OH 44260 | 330-628-5822
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