Request for Homeowners Quote from

Products and services offered by the Eck Agency may not be available in all states. This information shall not constitute an offer in any state in which a product or company is not properly registered or licensed. The Eck Agency generally offers and sells its products and services only in the states of Kansas and Oklahoma. This information shall not constitute an offer in any foreign country.  All quotes are subject to underwriting and may not be available in all states.
 

Please provide the following contact information:

State
Name Street Address
City/Zip       Work Phone
Home Phone E-mail
Occupation Employer
Credit History Good    

Not so Good--Why

OK to check Credit?

YES  

NO  

Why Credit History is Important

Current Company Expiration Date
Coverages: Deductible
A: Dwelling Amount
B: Other Structures  10% of A unless unusual circumstances
C: Personal Property 
D: Loss of Use 
E: Personal Liability  Pick one
F: Medical Payments
Additional coverages (such as collections or other valuables) 
Additional Info In City Limits          Out of City Limits
Type of Heat:  Central        Solid Fuel
Age of:    Roof          Wiring         Plumbing       Heating/Cooling
Pets? No      Yes  If 'Yes' what kind and how many 
Swimming Pool? No  Yes  

If 'Yes':  

Diving Board No  Yes  

Above Ground   In Ground

Trampoline? No  Yes  
About the House Stories: Select one
Ground Floor Square Feet:
Construction Type:  Select one
Year Built:
Number of Families:
Roof Material: Select one
Sub Structure: Select one
Number of Baths:  Full   Half 
Garage:  Select one   # of Cars
Built-ins (check all that apply)
Dishwasher Garbage Disposal Microwave Range Hood
Smoke Alarm -- # Central Humidifier Ceiling Fans --# Central Vacuum
Countertop Range Bathroom Heater Dryer Washer
Elevator Hot Tub Intercom Jetted Tub
Internal Sprinkler System Kitchenette Package Oven Sauna
Fireplace Insert Refrigerator Exhaust Fan Security/Fire Alarm
Skylight Trash Compactor Video Door Answer Water Purifier
Wet Bar Whole House Fan Wood Stove Other 

 


Copyright ©2000 Eck Agency, Inc.  All rights reserved.
Revised: April 29, 2008

 

 

Why Credit is Important

Many insurance companies now require a credit check to write or even quote both auto and homeowners insurance.  The reason is that people with good credit have many fewer claims than those who don't.  One major company experienced non-catastrophe losses that were 5 times higher from its insureds who had a low credit score vs. their insureds who had exceptional credit.  We do need your permission to check your credit score.  Back to form