Home Insurance by Baxter Insurance.

Top Insurers. Local Agents. Great Rates. We make applying for home insurance easy. Thousands of homes insured since 1989. 1. Complete this home insurance application. 2. We will prepare your quote right away and email it to you. 3. Purchase online- Docusign the apps and pay online or by phone. Have a question? Email: service@baxterinsurance.com Phone: 805-963-4048 www.baxterinsurance.com Our Team is always here to help. Now Let's Get Started On Your Home Insurance Quote: (Estimated Time to Complete - 4 Minutes)

Tell Us About Your Home:

Property Street Address*

City*

State*

Zip*

I need Home Insurance For:*

Select

What Type of Home Is It?*

Select or enter value

Do You Rent Out Your Home? (Tenant, Airbnb, etc)*

Select

Let's Check For Discounts:

Do You Have An Alarm Service Provider?*

Select

Active Interior Fire Sprinkler System Installed?*

Select or enter value

Is Your Driveway Gated?*

Select

Would You Be Interested In Bundling More Policies?*

Save up to 40% when you bundle more policies like auto and umbrella. Can be done now or later. Select "yes" to let us know you are interested.

Select

Home Improvements In Past 5 Years?

Please select all that apply (Complete replacements only)

Select

Tell Us About Yourself:

First Name*

Last Name*

Gender*

Select

Date of Birth*

Your Occupation*

Is There A Co-Applicant On Title (e.g. a spouse?)

Select

Co-Applicant First Name*

Co-Applicant Last Name*

Co-Applicant Date of Birth*

Co-Applicant Occupation

Some Important Details:

Do You Own The Home In A Trust or LLC?*

Select or enter value

Trust / LLC Name*

If you do not have the name at hand just type "TBD."

Do Any of The Following Appy?*

Select

Any Domestic Staff Working Over 10 Hours a Week?*

Such as a nanny, full time housekeeper/gardener, or caretaker.

Select

Any Construction Planned in Next 12 Months?*

Select

Any Home Insurance Claims Filed Past 5 Years?*

Select

Do Any of The Following Apply?

Select Multiple If Needed.

Select

Do You Have a Dog?

Select

What Breed of Dog Do you Have?

Do You Have A Swimming Pool?

Select

Is Your Swimming Pool Fenced?

Select

Some Additional Coverage Questions:

Do You Want Us To Include A Quote For Earthquake?

Select

Do You Want Us To Include a Quote For Flood?

Select

Do You Want To Insure Any Collections?

Select All That Apply

Select

Artwork Value

Jewelry Value

Rugs Value

Instruments Value

Silver Value

Where Do We Send Your Quote?

We respect your privacy and will use this information to send your quote to.

Your Email*

Your privacy is important to us. We will email your quote here.

Your Phone Number*

In case We need to reach you with additional questions.

Final Questions:

Are Mailing and Home Address The Same?

Select

Mailing Address Street

Mailing Address City

Mailing Address State

Mailing Address Zip

How Did You Hear About Us?*

Your Feedback Really Helps Us Out.

Select

Who Referred You To Us?

So We Can Thank Them.

Any Additional Details You Would Like To Add?

If there is anything important you want to add please don't be shy.

File Upload (e.g. current policy declarations page)

If you would like to upload any documents that will be helpful, like a copy of your current homeowners policy, you can do so here.

Drag and drop files here or

Send me a copy of my responses

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