Tell us what type of home insurance you need and when you'd like coverage to begin.
What type of policy are you looking for?
Desired Start Date ★
When would you like coverage to begin?
Is this a New Purchase?
Primary Use of Property
How many people live in the home?
Step 2 of 6
About You
Your personal information. We'll use this to look up your insurance history and prepare your quote.
Primary Applicant
First Name ★
Middle Name
Last Name ★
Date of Birth ★
Gender
Marital Status
Co-Applicant (if any)
Co-Applicant Full Name
Co-Applicant Date of Birth
Relationship
Contact Information
Phone Number ★
Email Address ★
Mailing Address (if different from property)
Step 3 of 6
Your Property
Tell us about the home. The more detail you provide, the more accurate your quote will be.
Property Address
Street Address ★
ZIP Code ★
City ★
State ★
Home Details
Year Built ★
Year Purchased
Total Living Area ★
Number of Stories
Construction Type ★
Number of Families (units)
Garage
Foundation
Occupancy & Use
Within 5 miles of a Fire Station?
Within 1,000 ft of a Fire Hydrant?
Swimming Pool?
Coastal / Ocean Exposure?
Any Pets or Dogs on Premises?
Dog Breed (if applicable)
Certain breeds may affect eligibility
Step 4 of 6
Home Systems
When were your roof, heating, electrical, and plumbing last updated? This directly affects your rate.
Why we ask: The age of your home's major systems is one of the most important rating factors for home insurance. Carriers offer discounts for recently updated systems and may decline coverage for severely outdated ones.
System Update Years
🏠 Roof
Year last replaced or significantly repaired
🔥 Heating System
Furnace, boiler, or heat pump installation
⚡ Electrical
Panel upgrade or full rewire
🔧 Plumbing
Major replumbing or pipe replacement
Roof Details
Roof Material ★
Roof Condition
Electrical Details
Electrical Panel Amperage
Heating Type
Safety & Known Issues
Burglar Alarm?
Fire / Smoke Alarm?
Does the home have any of the following? (Check all that apply)
Step 5 of 6
Coverage & History
Help us understand your coverage needs and insurance history.
Coverage Preferences
Estimated Home Value (replacement cost) ★
This is the cost to rebuild your home, not the market value
Preferred Deductible
Preferred Personal Liability Limit
Do you have a mortgage / lender?
Lender / Bank Name
Your lender must be listed on your policy. We'll get their address.
Do you want a Personal Umbrella discussed?
Do you also need an Auto Insurance quote?
Bundling home + auto saves up to 13%
Insurance History
Currently Insured? ★
Current / Prior Insurance Company
Current Policy Expiration Date
Any Claims in the Past 5 Years? ★
Please describe any claims
Has coverage ever been cancelled or non-renewed?
Step 6 of 6
Almost Done
Review your information and submit. One of our licensed producers will contact you within one business day.
Additional Notes
Anything else you'd like us to know?
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✓
You're All Set!
Thank you for requesting a quote from Econosurance. One of our licensed Massachusetts producers will review your information and contact you within 1 business day.
