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URL

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Please fill out information completely for an expedited process.

Valuation Report Type*

Add Ons

Add NFIP Flood Replacement Costs

Add Law and Ordinance Policy Replacement Costs

Add Mitigation (Miami Dade, Broward, Palm Beach County only)

Insured Name / Entity Legal Name*

What is the location name we are inspecting? Examples would be "Sample Condominium Association, Inc", or "Sample Townhome Association" - This is the INSURED NAME that appears on the policy for this location. It should be a legal name registered with Sunbiz.

PROPERTY INFORMATION

Main Property Address*

If you have a list of addresses, you will be able to attach them at the end of this form.

Street Address City State ZIP Code

Number of Buildings

Total Number of Units

Total Number of Different Style Buildings if Known

Highest Number of Stories

Access to Property

Check in with Front Desk or Office

Gated Community w/ Call-Box

Gated Community w/ Gates Open

Gated Community w/ Guard

Locked Building w/Tele-entry

Master Association Guardhouse

No Security (Good to go!)

Not Gated Or Locked

Pool / Recreation Room Locked

Site Contact Needs to Meet

Should we include amenities or other items in report?

Make your selections below:

Yes

Additional Items to be Included in Report

Canopies/Gazebos

Carports

Clubhouse

Clubhouse Contents

Cluster Mailboxes

Community

Community Lighting

Docks

Entry Signage / Monument Signs

EV Charging Stations

Flagpoles

Fountains

Garages

Gate House

Gates and Controls

Individual Mailboxes

Irrigation Pumps and Controls

Landscape Lighting

Mailbox Pavilion

Maintenance Building

Parking Garage - Large

Pavilions - Misc

Pergolas

Perimeter Fences & Walls

Playgrounds/Tot-Lots

Pool

Pool Decking

Pool Equipment

Pool Equipment Building/Enclosures

Pool Fencing

Pool Furniture

Pool Heater

Pool House

Pool Lighting

Pump House

Sheds

Shuffleboard

Sidewalks

Spa

Street Signs

Streets

Tennis Courts

Trash Enclosures

Additional Items Not Listed

REQUESTER INFORMATION

Name of Requester / Your Name*

Phone Number of Requester*

E-mail Address of Requester*

Your Role*

Insured - Board Member - Owner

Insurance Agent

CSR for Agent

Property Manager

Other

INSPECTION CONTACT

Do you know the inspection contact at this time?*

Yes

Inspection Contact Name and Title

Inspection Contact Phone

Inspection Contact E-Mail Address

Insurance Agent

Agent Phone Number

Insurance Agent E-mail Address

Who should we send the completed report to?

Requestor

Site Contact

Insurance Agent

Other

BILLING INFORMATION

Billing Address*

Street Address City State ZIP Code

Contract Type

Your contract will be processed 50% faster if you use our e-sign system. It is easy to use, and assign approvers. Please select paper contract if you are able to return a fully executed contract, scan it and e-mail it to our office. Photographs are not accepted.

Save time with e-sign contract

Paper contract - must be scanned

Upload Useful Files to Aid in Quote

If available please upload any lists of addresses, prior appraisals, Acord applications that may assist us in preparing your quote.

Drop files here or

Accepted file types: jpg, png, pdf, docx, xlxs, Max. file size: 2 MB, Max. files: 10.

Would you like to enter any additional information?*

Yes

Additional Notes or Comments

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