Ready for us to show you how we can help? Take a moment to provide us with a few details about yourself.
Let's Begin
 
Tell us a little about yourself

This will only take a few minutes, and is vital for us to perform our best for you as we evaluate your account. 

Once complete, we'll report back to you with a quote for coverage that is the product of our very best work. Most importantly, it'll come with our honest professional opinion- your very best interests are paramount. 

Also, we value privacy and security; Minneapolis St. Paul Agency will never share your information.

(Please be advised that this submission has no binding authority and does not provide
immediate coverage). 


 
What is your first name? *

 
and what is your last name? *

 
Brilliant. Moving right along {{answer_39587834}}...

 
What areas of personal coverage would you like us to help you explore? *


 
{{answer_39587834}}, what is your date of birth? *

 
Are you married or live with a significant other? *

     
 
What is their first name? *

 
and what's {{answer_39587892}}'s last name? *

 
What is {{answer_39587892}}'s date of birth? *

 
What is your CURRENT legal address? *

If you're buying a new house, this is your soon-to-be old address.
 
Just a few details about your house are needed...

 
Are you purchasing a different home? *

     
 
Congratulations. What is the address of this new home? *

 
What is the purchase price? *

 
When do you plan to close? *

If you don't have a date firmly set, your best estimate is just fine for now.
 
Does this home have a finished basement? *


 
Approximately when was this home's roof last replaced? *

 
Do you have any dogs on the property? *

Please share their breeds if applicable.
 
How is your home heated? If it has ever been replaced, please also indicate approximately when *

 
Does your home have circuit breakers? *


 
Do you have a mortgage? *

     
 
Have there been any major updates to the home?

If so, you may describe them here.
 
Excellent. Let's move on to the next section...

 
{{answer_39587834}}, what is your driver's license number? *

 
If {{answer_39587892}}'s driver's license number is readily available, it would be helpful, otherwise we can get it later...

This may be left blank if you need to, but we will need it to issue any coverage later on.
 
Do you live with anyone else? *

     
 
Please list any other individuals in your household, along with their dates of birth.

(Insurance companies require disclosure of all drivers.)
 
Please list any other individuals in your household, aside from {{answer_39587892}}, along with their dates of birth.

(Insurance companies require disclosure of all drivers.)
 
Please provide the make, model, and year of your cars. If it's handy, we'll take the VIN numbers too. *

We'll need the VIN numbers at some point. Providing them now allows us to factor in vehicle safety features and provide the most accurate rating.
 
What do you do for a living? *

If retired or stay at home, simply indicate such.
 
Do you hold any educational degrees? If so, please list them here.

IE: Bachelors, Masters, PhD, Etc.
 
About how far is your one-way commute to work? *

If retired or stay at home, simply indicate such.
 
What does {{answer_39587892}} do for a living?

If retired or stay at home, simply indicate such.
 
Does {{answer_39587892}} hold any educational degrees?

 
Approximately how far is {{answer_39587892}}'s one-way commute to work?

If retired or stay at home, simply indicate such.
 
Have you, {{answer_39587892}}, or any other drivers in the household gotten into an accident or received any tickets in the past 5 years?

You'll want to include any comprehensive claims here too. (You may omit any glass repair claims).
 
Have you or any other drivers in the household gotten into an accident or received any tickets in the past 5 years?

You'll want to include any comprehensive claims here too. (You may omit any glass repair claims). Just a brief description is necessary.
 
Are any vehicles to be used in delivery, transportation for hire, commercial use, or snowplowing?

     
 
That's it for questions...

Thank you, {{answer_39587834}}, that's all. 

We will begin working on your account shortly. We pride ourselves in professional insight and attention to detail; give us a few days and we will be in touch with a series of quotes and any recommendations about your coverage. 

Thank you for the privilege to serve you and your account; we look forward to working with you. 


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