The Insurance Professionals,Inc.

Homeowner Insurance

: Live Well. Live Safely. Protect Yourself.

Whether you're a home and/or condominium owner, a landlord, or both, the bottom line is simple: you need to inform and protect yourself from natural disasters...theft, and liability. FOR A FREE QUOTE, FILL OUT THE FORM BELOW. (Please complete all information to receive an accurate quote.)

IS YOUR HOMEOWNERS POLICY BEING CANCELLED?

Reports have surfaced in the news with people reporting that their homeowners policies have been cancelled because they live close to the water and do not have storm shutters. At Charter Oak - The Insurance Professionals (TIP), we do not require storm shutters in order to provide coverage. Please complete the form below for your comprehensive free quote. TIP is licensed in both Connecticut and Rhode Island. You can trust the PROS!

GENERAL INFORMATION

First Name *		Last Name *

Street Address *

City *		State *		Zip Code *

Phone Number		E-mail Address

Date of Birth *		Social Security Number		Drivers License Number *		State Licensed *

Credit Union Membership *

Please type the name of the credit union that you are a member of in the box below. If you are not a member of any credit union, type "none." Group discounts may apply.

CURRENT POLICY INFORMATION

Current Insurance Carrier(Not Agency) *		Policy Expiration Date *

Amount Insured For *		Deductible *

HOME INFORMATION

How long at present address? *		Previous address(if less than 2 years) *

Number of claims in the last 3 years *		Square footage of home(excluding basement and garage) *

Year home was built *

Structure Information

Type *		Construction *

Age of roof *		Foundation *

Garage

Features

Bathrooms # of full		Bathrooms # of half

Basement		Sq. Ft:

Deck Sq. Ft.		Porch Sq. Ft.		Patio Sq. Ft.

Number Of Fireplaces		Number Of Chimneys		Number Of Hearths

Additional Features

Electrical System		Amps

Heating System		Woodstove

Trampoline		Pool		If yes,

Slide/Diving Board		Height of fence

Dog		If yes, what breed?

Bankruptcy/Losses

Any bankruptcy in the last 7 years? *		Any losses in the last 7 years?

If yes, please explain:

Please give any additional comments about the coverage you desire:

* Required to submit this form

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The Insurance Professionals, Inc., is owned by SCCT, LLC,
a subsidiary of Charter Oak Federal Credit Union.

The insurance offered is not a deposit and is not insured by the NCUSIF or guaranteed by your credit union.

The Insurance Professionals, Inc.
611-A Long Hill Road
Groton, Connecticut 06340
860-445-5377