Michigan insurance from Insurance Center of Monroe Michigan insurance from Insurance Center of Monroe
Insurance Center of Monroe - Insuring Michigan Residents & Businesses for Decades!
 
Personal Auto, Homeowners Insurance from Insurance Center of Monroe
Personal Auto Insurance

Homeowners Insurance

Condo & Townhome Insurance

Boat & Yacht Insurance

Business, workers comp, and Contractor Insurance Products from Insurance Center of Monroe
Businessowners Insurance

Contractor Liability Insurance

Workers Comp Insurance


Life and Health Insurance Products from Insurance Center of Monroe
Life Insurance

Health Insurance

INSTANT Health Quote

Group Health Insurance

Medicare Advantage


Other Insurance Services from Insurance Center of Monroe
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Insurance Center of Monroe is a Trusted Choice Agency!
 
On-Line Condominium
Owners Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!
Your Personal Data:
 
Your Name:
Property Address:
City:
State: (Must be Michigan or Ohio)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail (again for accuracy):
Phone:
Fax (optional):
 
Dwelling Information
 
Year Dwelling Built:
Home Square footage:
 
# Units in common bldg.:
 
Type Roof: Shingle Wood Shake
Tar/Gravel Spanish Tile
 
Number of stories: One Two
Three 4+
 
Do you own animals or pets? Yes No
If yes, list type/for dogs, list breed:
 
Are You Near Brush Area? Yes No
 
# of feet to nearest
fire hydrant: 		# of miles to nearest
fire station:
 
Currently Insured? Yes No
Name of Carrier & how long insured?
 
Prior Claims? Yes No
Describe claims in detail:
 
Plumbing type: Copper Galvanized
Mixed (Copper/Galvanized)
 
Circuit Breakers or fuses? Breakers Fuses


# Fireplaces: # Chimneys:
 
Special features
(i.e., deck, air conditioning, alarm systems, pool, etc.)
 
Coverages:
 
Contents $ Loss of Use $
Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)
 
Comments/Remarks
(describe any scheduled jewelry, in-home business, or other special coverages needed here):
 
Send my quotation via: E-Mail Fax
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Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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Insurance Center of Monroe . 428 N. Monroe Street . Monroe, MI 48162
Phone: 734-241-1333 | Fax: 734-241-1459 | E-Mail us at: quotes@goicm.com
Our Telephone Quoting Hours are: 9:00am to 5:00pm (Monday-Friday)
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