AGENTS FAST TRACK Flood Quote
This is a special fast track form for agents to request a flood policy quote from Franklin Flood for Agents. Your request for a policy quote will receive special priority processing for agents by Franklin's trained, licensed flood insurance professionals.
The quote you receive will be based on the information you supply on the quote request form. Please be sure to fill out all fields as accurately as possible. If you have questions about anything on the form please call or email Franklin for clarification before submitting the form.
Remember, Franklin's agents are here to help your agency succeed. We have extensive resources that can get agents the answers they need to service your customer base.
If you have any questions or need additional information, please contact Franklin for Agents at 888 567 9600 or use our online form Please tell the Franklin representative taking your call you are an insurance professional.
Submitter Information
01. Submitter ( party requesting quote )
02. Submitter eMail
AGENCY INFORMATION
03. Agency Name:
04. Agency eMail
05. Agency Phone
APPLICANT INFORMATION
06. Applicant Name:
07. Applicant eMail
08. Applicant Phone
PROPERTY TO BE INSURED:
09. Address
10. City or Town
11. State
12. Zip Code
PROPERTY INFORMATION
Need Assistance with the quote form, call Franklin Toll Free: 888 567 9600.
13. Has there ever been a flood claim on the property?:
14. Is there a garage attached to or part of the building?:
15. If yes, how many car bays.:
16. Building total square footage:
17. Is this your primary residence:
18. Amount of building coverage:
19. Amount of content coverage:
20. Date of construction:
21. Is flood insurance being required:
22. If condo, how many units:
23. Number of floors in building:
24. Replacement cost of building:
25. Is a current policy in place:
26. If yes, expiration date ( mm/dd/yyyy ).
27. Is building a mobile home
28. Is Building Elevated:
29. If so How is it Elevated:
30. Basement / Enclosure
31. If crawl -space, Above or below grade.
32. Foundation Types: View Diagrams
33. Property Type:
34. Building Use:
35. Building Occupancy
36. Additional Notes:
TERMS & CONDITIONS OF QUOTE:
Routing Code - Please Leave Empty