Clovis Insurance Agency
2147 Herndon Ave, Suite 101Clovis, CA 93611
559-298-0881Client Portal Login
Carbrie is asking…
What is the model year of your vehicle?
This vehicle is...
This vehicle is primarily used for...
Commuting (work and/or school)
Pleasure (when the mood strikes)
Business (my car works for me)
I usually drive...
This vehicle is used for...
Work and/or School Commute Details
Rent or Own?
I was licensed before age 18 in the US/Canada
Military or Government Affiliation
Is this a business?
Do you accept our terms and conditions?
Year your business was started
Does your business have a DBA?("Doing Business As")
What is your birthdate
Anticipated Policy Start Date
Do you have any outstanding claims?
Are you currently insured?
Do you or your business own the building?
What year was the building built?
Is there a sprinkler system in the building?
Address of the property being insured:
Have you lived here longer than 3 years?
What year was your home built?
This property is a...
When did you purchase your home?
Is this your primary residence?
The property has a...
Do you have a pool?
Do you have a deck?
Do you have a porch?
Do you have a fireplace?
The foundation of this property is...
Select any safety devices your home has:
Burglar alarm that sounds
Fire alarm that reports to a fire station or security company
Multiple fire sprinklers throughout your home
A backup generator
Home automation system
Have you made any claims in the past five years?
Do you smoke?
Do you have a dog(s)?
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