Quick Home Quote

Home insurance · about 10 minutes · no obligation

Fastest option: snap a photo of your current home declarations page and email it to us with your name — that covers most of this automatically. Otherwise, fill in what you can below. Only a few fields are required (marked *).

Your Info

Full name

Date of birth

Phone

Mailing address

Marital status

Spouse / domestic partner / significant other — name (if any)

Their date of birth

Current Insurance

Current home carrier

Home / Property

Property address (if different from mailing)

Year built

Basement?

Occupancy

Purchased (year)

Major System Updates

Roof — year updated

HVAC — year updated

Electrical — year updated

Plumbing — year updated

Quick checks

Dog(s)?

NoYes

Breed

Any bite history?

NoYes

Trampoline?

NoYes

Is it netted / enclosed?

NoYes

Swimming pool?

NoYes

Pool type

Diving board?

NoYes

Slide?

NoYes

Is the backyard fenced?

NoYes

Wood-burning stove, pellet stove, or fireplace insert?

NoYes

Business run out of the home?

NoYes

Claims History

Any home claims in the last 5 years? Briefly what & when.

Anything else we should know?

Anything else to insure?

Check anything you'd like us to quote too — no obligation.

Umbrella / extra liability Life insurance Jewelry / engagement ring Watches Firearms / guns Artwork / fine art Collectibles (coins, cards…) Boat / watercraft Jet ski / PWC Motorcycle ATV / UTV / side-by-side Snowmobile RV / motorhome Camper / travel trailer Golf cart Classic / collector car Rental / landlord property Flood insurance

Other — tell us what

Leave this field blank

Your summary:

"Submit" sends this straight to our agency — no email app needed. Attach a dec-page photo separately by replying to our confirmation, or use "Email instead" if you'd rather send it yourself.

Shield Insurance · Mulligan Agency Branch · Hudsonville, MI
Questions? Email Ryanm@shieldagency.com