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Get your home and auto insurance quote.

Home and Auto insurance information.

Get Your Home and Auto Insurance Quote

Home and Auto insurance information.

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Your Name*

First Name* Last Name*

Are you a Shine client already?*

Yes

Phone*

How'd you hear about Shine?*

Which Lender/Realtor can we thank?*

Which client can we thank?*

How did you find us?*

Email*

Your Birthday*

Where do you work?*

This can sometimes provide a discount.

What is your job title?*

How many days a week do you drive to work?*

None (I work remotely or take public transportation)

1-3

4-5

Do you have a spouse or partner living with you?*

Yes

Spouse or Partner Name*

First Name* Last Name*

Spouse or Partner Phone

Helpful but not necessary

Spouse or Partner Email

Helpful but not necessary

Spouse or Partner Birthday*

Where does your spouse or partner work?*

Discount may apply

What is their job title?*

How many days a week do you drive to work?*

None (I work remotely or take public transportation)

1-3

4-5

Are you married?*

Yes

Discount may apply

Do you:*

Own your home

Rent your home

Own your condo

Are you buying a new home?*

Yes

Address*

Street Address* City* State/Prov./Region* ZIP/Postal*

Current Address (where you live now)*

Street Address* City* State* ZIP Code*

New Address (The home you're buying)*

Street Address* City* State* ZIP Code*

Which bank helps you with your mortgage?*

This helps us make sure they get the right documents

What year was your roof replaced (some companies require proof)?*

Is your HVAC less than 15 years old?*

Yes

Do you have a dog?*

Yes

What kind of dog (ballpark)*

Which of the below do you have:*

Detached Garage / Pole Barn

Pool

Finished Basement

Woodstove

Security System

Trampoline

None

What size is the detached garage / pole barn?*

give us a ballpark idea

Does the trampoline have a safety net?

Yes

Is the pool:

In Ground

Above Ground

Does the pool have:*

Diving Board

Slide

Neither

Does the pool have a fence or electric cover?*

Yes

How deep is the deepest part of the pool?*

Do you have a sump pump?*

Yes

Does the sump pump have battery backup?*

Yes

What type of Security System?*

Do you have any valuable collectibles?*

Yes

Think jewelry, fine art, vintage vehicles, etc.

Please share the collectibles value and description*

Any home claims in the last 5 years?*

Yes

Please explain the claims*

What cars need insured? (year/make/model)*

Are there any additional drivers in your home?*

Yes

Name & Birthdate of any additional drivers in your home*

What is your Driver License Number and State?

Are any drivers your children?

Yes

Do they have a B average in school or higher?

Yes

Do any cars have loans on them?*

Yes

Which cars & who is the lender?

Any auto claims in the last 5 years?*

Yes

Please explain claims*

Attach your current policies or other supporting docs

Drop files here or

Max. file size: 300 MB.

Attaching your policy gets you a free apples to apples comparison. You’ll still get a quote without uploading your docs. But if you want the best Shine experience, go ahead and drop those files.

Additional Information

You can give us lots of details or just a few.

Text Notification

By completing this form you consent to text communication from one human to another. Nothing automated just your friendly insurance advisor reaching out to chat.

This field is for validation purposes and should be left unchanged.

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Contact us directly.

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