New York Flood Insurance Quote from Norton Siegel.com

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Toll-Free: 1-866-669-0365
Phone: 1-631-669-0365
Fax: 1-631-669-0158

Contact Address:
Norton & Siegel, Inc.
PO Box 220
Babylon, NY 11702

"Remember, All Our Policies Come With an Agent!"

On-Line Flood Insurance Quote Form One Simple Form - takes only 2-3 Minutes!
Your Name:
Property Address:
City:
State: (Must be New York)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail (again for accuracy):
Phone:
Fax (optional):

Dwelling Information
Year Home Built:
Was the building substantially improved (more than 50% increase in market value) at one time? If so, what year?

Is home currently under construction?	No Yes

Home Square footage:

Number of units:	1 family Duplex 3 Family 4 Family

Type foundation:	Slab at Ground Level Basement, Finished Basement, Unfinished Elevated with enclosure Elevated without enclosure

Type Roof:	Shingle Wood Shake Tar/Gravel Spanish Tile

Number of stories:	One 1.5 Two Three

If more than 1 story, are some contents on ground floor, or contents ONLY above the first floor?	On ground floor Above first floor only

Does home have a garage?	Yes No
If yes to Garage, please describe if detached or attached, and if it containts any equipment such as washer/dryer, heating & air, etc.

Currently Insured?	Yes No
Name of Carrier & how long insured?

Do You Have an Elevation Certificate?	Yes No

Prior Claims?	Yes No
Describe claims in detail:

Coverages:

Dwelling Cov. $ Contents $

Deductible: $ $1000 $2000

Comments/Remarks:

Send my quotation via: E-Mail Fax
Regular Mail

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