Your Name and Contact Information
Home and Insurance Information
Type of Roof (please select one )
Does the house have a roof-mounted solar array?
Construction Type: (please select one )
Is the home on posts or pilings?
If yes, what type of pilings:
Other home and property features? Please check all that apply:
Attached Screened EnclosureDetached Screened EnclosureFenceCar Port
Is your Homeowners policy a Fair Plan Policy?
Do you have a copy of the WPI-8/WPI-8-C form from the Texas Department of Insurance?
Have any hurricane claims been made for this home in the past three years?