PL Auto Renewal Questionnaire Step 1 of 6 16% Name First Last Email PhoneAre you driving for a rideshare or delivery company?(Required) Yes No If yes what company?Have you started using your vehicle for business?(Required) Yes No (Roofing, real estate, advertisement, etc.)What Business?Please check all life events that have occurred in the last 12 months. Driver Added Driver Removed Purchased ATV/Motorcycle/Slingshot Purchased Boat Vehicle Bought Vehicle Sold Other Change No Changes Driver Added To Policy First Last BirthdayRelationship to YouSpouseChildParentOtherDL # Driver Removed From Policy First Last What new toy(s) did you purchase? ATV Boat Golf Cart Motorcycle Slingshot List make, model and estimated purchase price for each new toy.YearMakeModel Add RemoveClick the + to add more rows. Date Purchased MM slash DD slash YYYY Year/Make/Model of purchased vehicle(s)YearMakeModel Add RemoveClick the + to add rows for additional vehicles.Date Sold MM slash DD slash YYYY Year/Make/Model of sold vehicle(s)YearMakeModel Add RemoveClick the + to add rows for additional vehicles.Please list the renovations and an approximate cost of each. Add RemoveYou can use the + button on the right side to add additional rows. Do you have life insurance independent of your employment?(Required) Yes No Not Sure Please select all property that you own even if it is not insured with our agency.(Required) ATV Auto Boat/Yacht Business Classic Car Condo Golf Cart Home Motorcycle Rental Property RV Slingshot Snowmobile Vacation Property It is important to know if you own any of the items above because coverages can overlap or leave gaps and you need to be covered correctly.Do you own an ATV?(Required) Yes No Do you own a boat/yacht?(Required) Yes No Do you own a business?(Required) Yes No Do you own a business?(Required) Yes No Do you own a Classic Car?(Required) Yes No Do you own a golf cart?(Required) Yes No Do you own a motorcycle or slingshot?(Required) Yes No Do you own a rental/investment property?(Required) Yes No Do you own an RV?(Required) Yes No Do you own a snowmobile?(Required) Yes No Do you own a vacation property?(Required) Yes No Are there any additional changes that we should know about prior to your insurance renewal?EmailThis field is for validation purposes and should be left unchanged.
