ALVAREZ ~ DONNAWAY ~ PASSONS
AFFORDABLE ~ DEPENDABLE ~ PROTECTION
Insurance Agents and Brokers
Contact Us
Since 1974
Free Homeowners Insurance Coverage Quotes
Homeowners Insurance Quote Request Form
Name
Date of Birth
Social Security #
Name of Spouse
Spouse's Date of Birth
Spouse's Social Security #
Address
City
State
Louisiana
Zip Code
Current Home Insurance Co.
Date Policy Expires
Amount Home Insured For
Occupation
How Long at Current Job
How Long at Current Address
Number of Claims in Last 3 Years
If you have made claims in the last 3 years, briefly descibe below what kind of claims and what amounts were paid.
Square Footage of Home (not including garage, carport or basement)
Year Home Was Built
Number of Floors
Type Construction
Foundation
Roof Style
Age of Roof
years
Garage Size
Garage Style
Number of Full Bathrooms
Number of Chimneys
Number of Half Bathrooms
Number of Hearths
Basement
Basement Size - Sq. Ft.
Deck
Total Deck Area - Sq. Ft.
Patio
Total Patio Area - Sq. Ft.
Porch
Total Porch Area - Sq. Ft.
Screened
Not Screened
Please Check Off Other Features
Security System
Central A/C
Window Units A/C
Central Heating
Floor Furnace Heating
Central Vacuum
Wet Bar
Whirlpool or Hot Tub
If house is over 30 years old, please descibe any updates including plumbing and electrical, dates they were done and if full or partial.
Please describe any valuables to be covered including jewelry, electronics and furs.
Desired Liability Limit
If Liability Limit is to be extended to other properties such as rental property, camps or boats please list those properties below.
How would you like to receive your freeHomeowners Insurance Coverage Quote?
Enter E-Mail Address
Enter Phone Number
Enter Fax Number
Comments or Questions
Thank-you for considering Alvarez, Donnaway, Passons, Inc.If you do not receive a response by the next business dayplease call us at (504) 457-4551
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Visit us at our new location:6620 Riverside Dr.Suite 315Metairie, Louisiana 70003 Telephone: (504) 457-4551
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