Better Flood

Partner – M&P Residential Form

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Name of Agent Submitting quote
Which Agency should this be written under?

Insured Infomraiton

Primary Policyholder's Name
Additional Policyholder's Name (if any)

Now, let's get some specific details about the property you want to insure.

Property Address for Coverage
Is your mailing address the same as this property?
Is your property currently under construction or planned to be built?
Do you need insurance for other structures on your property?
How many floors above ground does the building have? (Do not include the basement.)
If you’re unsure about your flood zone, simply select Zone AE, and your flood nerd will verify your correct flood zone for you. This ensures you get accurate coverage without the guesswork.
Please share any other details or notes about your property that you think are important for your insurance coverage.
Click or drag files to this area to upload.You can upload up to 10 files.
Please upload any relevant documents or images here. This can include photographs of the property, architectural drawings, an Elevation Certificate, documentation of your flood zone, lender correspondence, prior insurance policies, or any other pertinent information.
I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.
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