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Associated Insurance Professionals, Inc.
Action Insurance Professionals - AIP Action Insurance Agency
A New Mexico Corporation

New Mexico - Colorado - California - Arizona - Nevada
Licensed Agents and Brokers

 

Looking to save some money on your homeowners insurance coverage? Submit your information below and start saving right away.
Writing coverage in Arizona, California, Colorado, and New Mexico.

Home Owners/Rental Quote

If you see the Secured by Geotrust Icon below the webpage is secure and your transmitted information is safe!

WE NEED THIS INFORMATION !

One of the key factors in obtaining an accurate insurance quote is accurate information. We must have all of this information to get you the best possible insurance quote for what you need and want.

Please help us do a good job for you. Get us the right information.

If you have a question about any of the information you need to provide us , please call us during regular business and speak with one of representatives.
 

Your Name
Your E-mail
Physical Address
Apartment Number
City
State
Zip
Mailing Address
(leave blank if same as above)
Phone
Present Insurance Carrier (if any)
How many Months have you been
with the above company?
Date of Birth
Social Security Number (a lot of homeowners companies do a credit score)
 
Is the Home a
Occupied By
Is this a New Home Purchase?
If No, is the home Presently Insured?
If yes, what is the closing date?
 
Have you had any losses or claims in the last 3 years?
If So..  

Claim 1

 
Type
Date
Amount Paid
   

Claim 2

 
Type
Date
Amount Paid
 
What year was the House built?
Size (Square Feet)
Number of Stories
Type of Home
If Type of Home is other
Roof
Type Of Roof
Does the home have any fireplace's?
Does the home have a wood burning stove?
Does the home have smoke detectors?
Does the home have Fire extinguishers?
Is the home in the city limits?
How many miles to the nearest fire department?
How many feet to the nearest fire hydrant?
Security System
Does the home have Wrought iron on ALL windows and doors?
Does the home have a Hot Tub or Spa?
Does the home have a swimming pool?
If so, Does it have a locked gate?
or a diving board?
Does the Home have a Trampoline?
Does the Trampoline have a mesh enclosure?
Any Locked Gate for Trampoline?
Any Dogs on the property?
Do they have a biting History?
What breed's are they?
Value of Home WITHOUT land
(looking for the value of the house only)
If you're a Renter, what is your personal property value?
What would you like your deductible to be?

House Information

How many Bathrooms does the house have?
How many are 1/2?
How many are 3/4
How many are full Bathrooms?
How many Bedrooms does the house have?
Does the house have an attached Garage?
How many car garage is it?
Does it have a dining room?
Does it have a Family room?
Does it have a Living room?
Does it have a Utility Room?
The house built on a...
How many of the rooms are carpeted?
have vinyl floor?
have tile for flooring?
have wood flooring?
Does the house have a front porch?
Does the house have a covered patio?
Does the house have any French doors? If so how many?
Update Information
Has the house had any updates or Renovations?
*if so, please fill out the information below
Does the house have a Circuit Breaker or Fuse Box?
Has the Electrical wiring been updated?
If so, when?
what type of wiring does the house have?   (Copper, Aluminum, etc)
What type of heating does the house have?
What type of cooling does the house have?
Does the house have a shower pan? 
When was the shower pan replaced?
What is the age of the water heater?
Please list all the years updated for the Heating, Plumbing, Shower Pan, Roof, and the Electrical in the box below..
Special Requests/Remarks



 You can call our customer service representatives Monday through Friday
9 am - 5:30 pm and Saturday 9 am - 2 p.m. to give you personalized phone quotes.

 

 
 
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Associated Insurance Professionals, Inc.
1429 Carlisle Blvd NE
Albuquerque , NM , 87110
505-265-3704
CA License #0F64143