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The News Apartments Insurance Program


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Disclaimer: Insurance Credit Based Score and Loss report will be ordered.



Personal Information
First Name
Required
Last Name
Required
Primary Phone Number
Required
E-Mail Address
Required
Marital Status
Required
Date of Birth
Required
/ /
Gender
Optional
Occupation?
Required
Location Street Address
Required
Apartment Number
Required
City
Required
State
Required
ZIP / Postal Code
Required
Other Information
What names are on the lease?
Required
Previous address if you lived there less than 3 years?
Required
Any prior insurance?
Required
Highest level of education completed?
Optional
How much coverage do you think you need to replace all of your belongings?
Required
Have any pets? If so, what kind/breed?
Required
Do you operate a business from home?
Required
If yes, what type?
Optional
Do you own a car? If so, what company insurers your car?
Required
Do you have valuables (jewelry, furs, silver, guns, collectibles, etc.) valued at more than $1,000?
Required
What date is your lease effective?
Required
/ /
Please provide copies of prior insurance policies and other relevant information
Optional
Submission Validation
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

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