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Welcome To Clear Path Insurance Services.
We Are Here To Help You.
Home
About Us
Auto Insurance
Home Insurance
Business Insurance
Builders’ Risk Insurance
Business Interruption Insurance
Business Owners Package
Commercial Auto Insurance
Commercial Earthquake Insurance
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Term Life Insurance
Whole LIfe Insurance
Universal life Insurance
Cyber Insurance
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Welcome To Clear Path Insurance Services.
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Step
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Applicant Information
Name
*
First
Middle
Last
Date Of Birth
*
Phone Number
*
Email Address
*
Next
Applicant Information
Address
*
Address Line 1
City
State / Province / Region
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Indiana
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
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Nevada
New Hampshire
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
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Tennessee
Texas
Utah
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Virginia
Washington
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State
Zip Code
Property Type:
*
Select Property Type
Single Family Home
Multi-Family Home
Condo
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Other
Describe
*
Year Built
Square Footage
Number of Stories
Roof Type
Select Option
Asphalt
Metal
Tile
Other
Describe
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Building Features
Construction Type
Select Construction Type
Wood Frame
Brick
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Other
Desrcibe
Foundation Type
Select Foundation Type
Slab
Crawlspace
Basement
Other
Describe
Roof Age
Electrical System Updated
Yes
No
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Safety Features
Security System
Yes
No
Smoke Alarms
Yes
No
Fire Sprinkler System
Yes
No
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Insurance Coverage Needs
Coverage Amount Desired
Personal Property Coverage Needed?
Yes
No
Liability Coverage Desired?
Yes
No
Deductible Preference:
Low
Medium
High
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Next
Loss History
Any Property Claims in the Past 5 Years?
Yes
No
Date
Coverage Special Fire
Description
Claim Amount
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Next
Additional Information
Additional Comments or Special Requirements
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Last Stage
How Did You Hear About Us?
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How Did You Hear About Us?
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