Click to return to home page... Insurance since 1870 Chas. F. Hartshorne & Son, Inc. (click to return to home page)

CUSTOMER CARE
About Your Account
Change of Address
Request a Certificate
Report a Claim
Get a Free Quote
Resource Library
Site Map
 
Chas. F. Hartshorne & Son, Inc.
3 Chestnut Street
Wakefield, MA 01880
781-245-4300
info@hartshorneins.com
Map & Directions
 
HEADING
Request for a Homeowners Insurance Quote
By completing and submitting this form, you agree hat no coverage is bound and no policy is in effect until you are contacted by one of our agency representatives. All information submitted is held in the strictest confidence and is only gathered for the purposes of providing you an insurance quote. To provide the most accurate quote possible, please complete all areas that apply.
 
General Information
Full Name
Address
City
State
ZIP Code
Telephone
Email Address required
Property Location
Street Address
City or Town
State
ZIP Code
Current Insurance Information (not your agency information)
Insurance Company Name
Current Annual Premium $
Expiration Date
Estimated Replacement Cost $(whole dollars)
Estimated Year house was built
Number of stories excluding basement
Type of Construction
Deductible Desired
Amount of Liabilty
County
Earthquake Coverage desired?
Yes No
Have you filed for Bankruptcy Protection within the past 7 years?
Yes No
Additional Comments
 
© Copyright 2007-2012 • Chas. F. Hartshorne & Son, Inc. (All rights reserved)
site by Aspenglow Services • employee access