Evans Insurance

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Home Insurance Contact Us

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Home Insurance estimate request form

Personal Information
Name
Address
City
Province
Postal Code
Daytime Phone
Alternative Number
Email

Property Details
Property	New Home Existing Home
Type
Style
Year built
Number of Stories
Total Living Area (excluding basement)

Wall Height
Specifics as %
Cathedral Ceilings	%
8 foot Wall/Ceilings	%
9 foot Wall/Ceilings	%
10 foot Wall/Ceilings	%
Basement	%
Basement Finished	%
Crawl Space	%
Slab	%
Hillside Foundation	%
Basement Wall Type


Interior Details
Interior Details as %
Hardwood	%
Carpet Over Hardwood	%
Wall to Wall Carpet	%
Laminate	%
Ceramic Tile	%
Marble	%
Parquet	%
Plank	%
Vinyl	%
Slate	%
Plywood	%
Wall Partitions as %
Drywall	%
Plaster	%
Bathrooms
Ensuite (4 fixtures)	quality
Full Bath (3 Fixtures)	quality
Half Bath (2 Fixtures)	quality
Kitchen
Ceilings as %
DryWall	%
Plaster	%
Tongue & Grove Wood	%
Acoustic Tile	%
Wall Covering as %
Paint	%
Wallpaper	%
Wood Sheet Paneling	%
Solid Wood Paneling	%
Tongue and Grove Wood	%

Other
Exterior Details
Home Exterior as %
Clapboard	%
wood siding	%
Wood Shanks	%
Brink Veneer	%
Stone Veneer	%
Block (painted)	%
Vinyl siding	%
Stucco on Frame	%
Aluminum Siding	%
Solid Stone	%
Solid Brick	%
4-6 Inch Concrete	%
Stucco on Block	%
Steel Block	%
Steel siding	%
Cement Fiber Siding	%
Hardboard	%
Roofing as %
Asphalt	%
Wood Shakes	%
Wood Shingles	%
Slate	%
Tar and Gravel	%
Clay Tile	%
Concrete Tile	%
Copper	%
Fiberglass	%
Rubber	%
Tin	%
Steel Roofing	%


Heating Details (quantity)
FirePlace
Built in Masonry Solid Fuel Fireplace
Built in N.Gas / Propane
PreFab Metal Solid Fuel
Direct Vent
Wood Stove Free Standing
Electric Heat Pump (Using Heating Ducts)
Primary Heating
Natural Gas forced air
Boiler
Electric
Oil
Other:	other heating
Cooling
%Central Air-same Ducts	%
%Central Air-separate Ducts	%
Supplement Heating
% Radiant Floor Heating	%
Additional Features (QTY)
Attached Garage
Detached Garage (QTY)
Other (SF)
Balcony-sq. ft.	Deck-sq. ft.
Patio Cover-sq. ft.	Solar Room-sq. ft.
Greenhouse-sq. ft.	Open Porch-sq. ft.
Closed Porch-sq. ft.	Screen Porch-sq. ft.

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