Carrier - Underwriting Questions - National General

National General
Underwriting Questionnaire

Name(Required)

First Last

Phone(Required)

Email(Required)

Homeowner Eligibility Questions

Has applicant had a foreclosure, repossession, bankruptcy, judment or lien during the past 5 years?(Required)

Provide Details(Required)

Has prior insurance that was declined, cancelled or non-renewed in the past five years for reasons other than agency termination, carrier insolvency or carrier no longer writing business in a state?(Required)

Provide Details(Required)

Does the insured have any pets that are considered wild or exotic animals (or mixes thereof), or any animal that has shown a propensity to be vicious or dangerous, or have a bad bite history?(Required)

Provide Details(Required)

Has the applicant had a prior fraud charge or conviction?(Required)

Provide Details(Required)

Is the dwelling built on pilings, piers, wharves, jetties or is the dwelling foundation open?(Required)

Provide Details(Required)

Does the dwelling has electrical system with Knob and Tube or Aluminium wiring present?(Required)

Provide Details(Required)

Is the house for sale?(Required)

Is the dwelling on the historical register?(Required)

Does applicant conduct short term rental through Airbnb, Vrbo or any other similar platform?(Required)

Is there a skateboard or bicycle ramp on the premises?(Required)

Is there a treehouse on the premises?(Required)

Is the premises used for farming purposes (other than incidental)?(Required)

Does preexisting damage exist?(Required)

Provide Details(Required)

Auto Eligibility Questions

Joint Ownership(Required)

Any coverage declined, cancelled or non-renewed during the last 3 years?(Required)

Provide Details(Required)

Have you had any accidents or claims in the past 7 days from when you are requesting insurance?(Required)

Provide Details(Required)

Is any vehicle regularly available to non-listed drivers other than resident relatives?(Required)

Provide Details(Required)

Does the applicant have proof of prior insurance?(Required)

Is any vehicle used to drive for a transportation network company?(Required)

Provide Details(Required)

Is any vehicle loaned out to a car sharing network?(Required)

Provide Details(Required)

Are there any vehicles on the policies that have the following features/equipment or usage for commercial exposures?(Required)