Renters Insurance Quote

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Property Information

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Property Type *

Estimated Square Footage *

Total Number of Rooms in your dwelling excluding basement and bathrooms *

Select any additional property features that apply. *

Do you have any of the following breeds of dogs: Chow, Doberman, German Shepherd, Pit Bull, Rottweiler, Wolf Hybrid, or a mix of these? *

Policy Information

Replacement value of all possessions *

Personal Liability Coverage Desired *

Desired Deductible *

Have you reported any claims or losses to your insurance company within the past 5 years? *

Will this insurance replace an existing policy? *

When would you like this policy to start? *

Credit Rating *

Contact Information

Name *

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Last

Email *

Phone Number *

Address *

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City

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Additional Comments? *

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Jimenez Family Insurance Agency
(A DBA of College Student Insurance Service, Inc.)
CA License #0787082

(714) 534-0072
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Locations

13211 Garden Grove Blvd. Ste 100
Garden Grove, CA 92843

1914 Meyer Pl,
Costa Mesa, CA 92627

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