Is your only source of heat a fireplace, wood stove or pellet stove?	Yes   No
Any claims within the last 5 years that resulted from water damage?	Yes   No
Is the home currently under construction?	Yes   No
Is your home log construction?	Yes   No
Do you have a business in your home that is dependent on walk-in traffic?	Yes   No
If any one of the above questions is answered YES, please contact our agency before you print our application if you would like further clarification.

Your personal information is kept confidential. See our Privacy Statement.