Secure Earthquake Quote Request Form

No standard home or renters policy in California covers earthquake damage — it is always a separate policy. Given where you live, it is worth knowing what it would cost.

Only your name, email and phone are required — fill in what you know and we will come back to you for the rest. Nothing here is an application and nothing is binding.

About you

First NameLast Name

Email AddressPhone Number

Street Address

CityZIP Code

The property

Do You Own or Rent?Property Type

Year BuiltSquare Footage

Number of StoriesFoundation TypeCarriers rate heavily on this — ask us if you are unsure.

Construction Type

Retrofitting

Is the House Bolted to the Foundation?A common retrofit that earns a real discount. Your inspection report may say.Have the Cripple Walls Been Braced?The short walls between the foundation and the floor. Another discount if done.

Is the Water Heater Strapped?Year Any Retrofitting Was Done

The cover you want

Cost to Rebuild the HomeValue of Your Belongings

Deductible You Are Comfortable WithEarthquake deductibles are a percentage, not a flat sum. Higher means a lower premium.Do You Want Cover for Somewhere to Live While Repairs Happen?

Your current cover and timing Any earthquake claims previously?

Current or Previous InsurerIf you are switching or renewing.What You Pay NowIf you know it.

When Do You Need Cover to Start?

Anything Else We Should Know

This is a solicitation for insurance. Completing this form does not apply for or bind cover. Coverage cannot be bound or changed via this form, e-mail, voicemail, text, or facsimile — only by written confirmation from our office.