Skip to content

Home
Quote Request
Advice
WNY flood maps
Disclosure
Contact
About Us
Search for:

Quote Request

Quote Requestadmin2018-03-17T22:16:33+05:00

Private Market Flood Policy Quote Request

Available in NY, NJ, GA and CT at this time. Submit your info and we’ll try to help.

Please refer to your CURRENT FLOOD POLICY DECLARATION PAGE. Then forward that declaration page to us to review.

Scan and email it to dan.king@thilldemerly.com
Send a photo of it by email to dan.king@thilldemerly.com
Fax it to (716) 683-4497. Or ask your insurance company or agency to fax it for you.

Call us at (716) 683-4491 with any questions.

Thanks, Dan King, flood insurance specialist

Staff at Thill-Demerly Agency Inc in Lancaster NY

If you are human, leave this field blank.

Your info

Your name *

Address to be insured *

City *

State *

ZIP *

County *

Mailing address, if different than property address

Email *

Your phone number *

Best days and times to contact

Policy info

Flood building limit desired *

Flood contents limit desired *

Desired effective date for the new policy? *

Enter comments here

Is this policy for a loan closing? *

Yes

No

Is this to replace your NFIP policy at renewal? *

Yes

No

Not sure. Enter more info below.

Is the premium escrowed? (paid by the lender) *

Yes

No

Not sure. Enter more info below.

Any flood loss (insured or not insured)? *

No

If yes, describe.

Flood zone

If you know the flood zone, enter it here. Lenders require flood insurance if in a "Special Flood Hazard Area". A flood zone that begins with the letter A or V is a Special Flood Hazard Area. Examples: A, AE, A1-A30, V, VE

Building info

Building purpose *

Residential 100%

Non-residential 100%

Mixed-use

Occupied by *

Owner

Tenant

Usage *

Primary residence

Secondary residence

Seasonal

For Sale

Vacant

Course of construction

Commercial

Apartment building

Occupancy type *

1 family

2 family

3 family

4 family

5 or more family

Condo - single level

Condo - multi level (stacked condos)

Mobile home

Other residential

Non-residential

Building estimated replacement cost (good guess) *

Building total square footage living area *

Year built *

Number of floors - including basement or crawl space *

1

2

3 or more

split level

townhouse/rowhouse

mobilehome

Garage attached to or part of the building? *

Yes - 1 car

Yes - 2 car

Yes - 3 car

Yes - 4 car or more

No

Foundation *

Slab on grade

Fully finished basement

Partially finished basement

Unfinished basement

Above Grade Crawl Space

Below Grade Crawl Space

Elevated building without Enclosure

Elevated Building with Enclosure

Walkout basement/Enclosure

Split Level Slab on Grade

Split level Basement

Under construction? *

No

Yes

Construction type *

Frame

Masonry

Stucco

Additional comments or questions. How referred? Describe any other structures.

Captcha *

reCAPTCHA is required.

Upon successful submission of your information, you will be redirected to an acknowledgement page (5 seconds). You'll also receive an email acknowledging your submission.

If you see any red areas, please check your work and re-submit.

Copyright 2019 Thill-Demerly Agency Inc | All Rights Reserved | - Private market flood quoting and referral service - Phone (716) 683-4491 | Privacy policy Fax (716) 683-4497