Reid & Zutant Insurance Agency of Central New York Flood Insurance Quote Form

1-315-463-8820

PERSONAL
Automobile
Boat
Flood
Homeowners
Modular/Mobile Home
Motorcycle
Off-Road Vehicle Personal Watercraft
RV/Motor Home

BUSINESS & CONTRACTORS
Business
Contractors
Disability insurance

Contact Us For Further Information

E-mail:
info@reid-zutant.com
Phone:
1-315-463-8501
Fax:
1-315-463-8820
How to get to us Click here for map

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On-Line Flood Insurance Quote Form

To request a quote for flood insurance, please complete and submit the following form. You will receive an answer within 24 hours.

If you are closing on a loan or refinancing your home and need an estimate immediately, please call Reid & Zutant at 1-315-463-8501. Our office hours are 8:30 AM to 4:30 PM Eastern time, Monday to Friday.


Personal Data
Last Name		First
Address		City
State	New York	Zip Code
Phone		Fax (optional)
You may contact me at the above number to discuss this quote Yes No
E-Mail Address (required)

Property Information If the location of the property to be insured is different than your mailing address, please provide address below.
Address		City
State	New York	Zip Code
County
What percentage of the time do you spend at the residence to be insured Less than 80% Over 80%

Building Type


If home is mobile or manufactured Width x Length Serial Number
Is your mobile home in a park? Yes No
If yes, park's name Date park built (ex - XX/XX/XXXX)
Is your mobile/manufactured home skirted? Yes No

Year of construction Number of floors, incl. basement

Foundation Type
Slab Basement/sunken area below ground on all sides Crawl space with: Vents Within 1 foot of ground Vents over 1 foot of ground No Vents
Has any flood loss payment or Federal Disaster Relief payment previously been paid out for this address? Yes No Unknown
Do you have an Elevation Certificate? Yes No If quote is accepted a copy of the Elevation Certificate is required

Coverage Options
Is flood coverage required by your mortgage company? Yes No Unknown
Building coverage limit $ The amount you wish to insure your home for up to $250,000 Contents coverage limit $ The amount you wish to insure your personal belongings for up to $100,000
Deductible $500 $1000 $2500 $5000

Send my quotation by the following method
E-Mail Fax Regular Mail By Phone
If by Phone, best time to call Morning Afternoon Evening

The policy must be paid in full before it is issued. There is a thirty day waiting period before your coverage takes effect, unless you need coverage in connection with a loan closing.

Thank you for filling out this form We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.
Yes, I Agree. Please Send My Flood Insurance Quote.

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