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Make sure your insurance fits your needs with an annual policy review.

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Policy Review - Insurance Agent and Family Discussing Insurance Needs During a Meeting

Home » Service Center » Complete Annual Review

Things change over time, and your insurance should reflect that. Compare your coverage with an annual policy review.

Let’s Review Your Insurance Needs

It’s important that we review your insurance needs to make sure you have the proper insurance coverage in place.

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Client Information

Name*

First Name* Last Name*

Email*

Phone Number*

Has your address changed?*

Yes

New Address*

Street Address* Address Line 2 City* State* ZIP Code*

What insurance do you currently have with us?*

Personal Auto Insurance

Home Insurance

Business Insurance

Your Home(s)

Please think back over the last year when answering these questions.

Have you remodeled or made any major updates to an existing home(s)?*

Yes

(New roof, furnace, or electrical system)

Have you added a home security system?*

Yes

Have you started a home-based business?*

Yes

Have you purchased a secondary residence, including a condo or timeshare?*

Yes

Have you started participating as a service provider in the home sharing economy?*

Yes

(Airbnb, VRBO)

Have you purchased jewelry, art, firearms or other valuables that need to be added? Are there items that need to be changed or deleted?*

Yes

Please explain any changes to your home.

Please do not include sensitive, private information in this area.

Your Automobiles and other "Vehicles"

Please think back over the last year when answering these questions.

Have you added an automobile, watercraft, or recreational vehicle?*

Yes

Are there any residents in your home of driving age that are not currently listed on your policy?*

Yes

Have you had a child leave home to attend school or no longer considered a dependent?*

Yes

Have you started participating as a service provider in the ridesharing economy?*

Yes

(Uber, Lyft, Sidecar)

Please explain any changes to your automobiles and "other" vehicles.

Please do not include sensitive, private information in this area.

Your Business Structure

Please think back over the last year when answering these questions.

Have you changed the ownership structure of your business?*

Yes

Have you changed your operations or added new products or services?*

Yes

Total Number of Full-Time Employees

Total Number of Part-Time Employees

Approximate Total Annual Sales*

Are you operating out of any new locations or have you closed locations?*

Yes

Please explain any changes to your business structure.

Please do not include sensitive, private information in this area.

Your Business Property

Please think back over the last year when answering these questions.

Have you acquired or sold any equipment?*

Yes

Have there been any improvements and/or significant alterations to your building?*

Yes

Please explain any changes to your business property.

Please do not include sensitive, private information in this area.

Additional Protection

Would you like to discuss any additional insurance protection with us?*

Yes

Confirmation

Your initials*

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Our Vestal, NY Office

4100 Vestal Road, Suite 102
Vestal, NY 13850

607-724-0404 text
570-531-8006 fax
Email Us
607-724-0404

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4100 Vestal Road, Suite 102
Vestal, NY 13850

607-724-0404 text
570-531-8006 fax
Email Us
607-724-0404

The Empire Insurance Agency Mission

Empire Insurance Agency exists to make a positive difference by serving our customers with righteousness and the heart of a teacher.

We are licensed in NY and PA.