1 of 4 TELL US ABOUT YOU
Email
First Name
Last Name
Birth Date
/ /
Best Phone Number
Phone Type
Best Time To Contact (all that apply)


We value your privacy. Your personal data is only used for quoting and internal purposes. Read our Privacy Statements for more information.

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(GO BACK TO SECTION 1)
2 of 4 Required For Rate Plan
New Policy Start Date
Current Policy Expiration Date
Home Manufacture Year
Zip Code
County Name
Location Street Address
Location City
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3: Home Information
(GO BACK TO SECTION 2)
Home Type
Length
Width
Sq Feet
Siding Type
Is your home Fully Skirted?
Is your home Tied Down?
Roof Type*
Home Use
Is the home located in a Planned Manufactured Home Community or Park?
If yes, Park Name (Florida only)
Do you own the land the home is on?
Spaces In Park

Windzone Rating (Florida only)

Please select all that apply to your manufactured home
How many miles from a fire department?
Is the home on a permanent foundation?
Currently Insured?
Value Of Current Homeowner Insurance Policy Value Of Current Homeowner Insurance Policy or Purchase Price of Home
Have you had any claims on your home in the last five years?
           
Purchase Date
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4: Coverage Selections
(GO BACK TO SECTION 3)
Please enter the amounts below that you would like.
Would you like insurance to insure your Personal Items at Replacement Cost?    




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In Texas, Standard Casualty Company reinsures the mobile home owner's policy written through Standard Insurance Agency, Inc. Some policies may be issued through our affiliates. Coverage available in: Alabama, Arkansas, Arizona, Colorado, Delaware, Florida, Georgia, Kansas, Kentucky, Louisiana, Mississippi, Nevada, New Mexico, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, Tennessee, Texas, Virginia and West Virginia. All coverage is subject to your individual policy limitations and exclusions. Please read your policy carefully. It contains the information you need to know.
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