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        Bonita Springs Florida 34135

        239-221-0522

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Get a Homeowners Insurance Quote

Get a Homeowners Insurance QuoteJen Johnson2021-09-13T21:05:33-04:00

Thank you for your interest in receiving a homeowners quote from My Florida Insurance. This form should only take about 5 minutes to complete. Don't worry if you don't have everything. You can always click the "Save and continue later" button below. We'll email you a private link to pick up where you left off.

MM slash DD slash YYYY
Name*
Date of Birth*

Personal Information

Co-Insured Name
Co-Insured Date of Birth

Property Information

Property Address?*
Is the property titled in a name other than your personal name(s)?*
(i.e. Trust, LLC, Corporation, etc.)
Do you have a mortgage on this property*
Who is responsible to pay for the homeowners insurance?
Would you like to enter your mortgagee information now?
You can upload a copy of your current policy later if you don't want to enter your mortgagee information now.
Do you have a property manager?*

Property Information

Will this home be rented?*
Does the roof have any solar panels?*
Do you know when the roof, plumbing, electrical, or exterior paint was updated?*

Mailing Address

Mailing Address*
Previous Address*

Replacement Cost

We need this information to determine how much it would cost to rebuild this property in the event of a loss.

Fireplace Types

Upload Current Policy

To better assist us in comparing your current coverage to our proposal, please upload a copy of your current homeowners policy.

Would you like to upload a copy of your current homeowners policy?*
Why we need this: We represent many different carriers and we don't want to quote your insurance with the same carrier.
You may upload up to 10 policy documents. Only .pdf file types accepted.
Drop files here or
Accepted file types: pdf, Max. file size: 10 MB, Max. files: 10.

    Claims and Rating Information

    Have you had any insurance lapse (30 days or more), cancel, or non-renew in the last 3 years?*

    Optional Discounts

    The following discounts are available. Please check all that apply.

    More Property Info

    Great job! Keep going.

    Do you have any pets?*
    Does this property have a pool?*
    Is the property situated on less than 5 acres?
    Is there a trampoline on the property?*
    Do you conduct business out of your home?

    Scheduled Items

    Most homeowners policies have limitations on the following types of personal property. You have the option to schedule (or add) these special items to your policy for higher coverage.

    Examples of these types of items include: jewelry, furs, art, collectibles, cameras, computers, golfing equipment, guns, antiques, silverware, bicycles, coins, musical instruments.

    Do you have any items you would like to schedule?*

    Last Step

    You're almost done!

    Would you like to receive an auto quote as well to maximize your savings?*
    Consent*
    Like most insurance agencies, we use information from you and other sources, such as your driving and claims histories, insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium.
    All the above information is accurate and true to the best of my knowledge.*
    Would you like to create a user account to manage your submissions?*
    Create a Password*
    This field is for validation purposes and should be left unchanged.

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    My Florida Insurance
    28280 Old 41 Rd #17
    Bonita Springs, Florida 34135
    Phone: 239-221-0522
    Fax: 239-908-4008

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