Contact Us:
800-874-1738

Insurance Products

Consumer

Manufactured Home Insurance Quote

Enter and submit the information below and a U.S. Insurance Services representative will contact you promptly with a quote for your requested coverage.

Personal Info

First Name*    MI Last Name*
Address* Home Phone*
  Work Phone
City, State, Zip* Email*
How would you like us to contact you?   Email:    Phone:
Primary Residence:*
Highest level of Education:*
Occupation:*

Prior Policy

Have you had coverage during the past 12 months?
Yes  No
Policy Number Policy Expiration Date
Company Agency

Mobile Home Information

Use of Unit* Value of Manufactured Home
(excluding land value)*
Purchase Date Purchase price
(excluding land)
Model Year* Length (in feet)*
Width (in Feet)* How many miles is the home from a fire department?
Location:* Is home on permanent foundation?
Yes  No
Do you own the land? Yes  No Does the home have a composite roof?
Yes  No
Does the home have protective siding?
Yes  No 		Is home located inside city limits?
Yes  No
Is the home tied down? Yes  No Is the home a Modular Home?
Yes  No
Are you the original owner of the home?
Yes  No 		Are there any adjacent structures to insure?
Yes  No

Coverages

Include personal liability? Yes  No
Animal Liability exclusion? Yes  No
Include Golf Cart Physical Damage & Liability Yes  No
Enter the number of golf carts: 
Include Satellite/Antenna coverage? Yes  No
Do you have a supplemental Heating Device? Yes  No
Do you want to schedule any personal property? (Ex. Jewelry, furs, cameras, etc.)
Yes  No
Do you want to exclude Mold Coverage? Yes  No