Southern Oak Insurance Company | Our Family Protecting Yours

STORM CENTRAL

We Are Not Currently Under Storm Restrictions

NO RESTRICTIONS

Welcome to the Request a Quote portion of our website. Here, you will be able to request a quote based on the parameters entered. If your home is eligible for coverage, your information may be forwarded to one of our independent agencies, appointed to write policies for Southern Oak in your area.

Please fill in the following. All fields are required; input requirements are noted.

PERSONAL DETAILS

The following personal information is collected for the sole purpose of generating your quote. If you have any questions, please consult our Privacy Policy.

LAST NAME:		DAY PHONE:
FIRST NAME:		ALT. PHONE:
EMAIL ADDRESS:

PROPERTY DETAILS

BUSINESS TYPE:

Home/Dwelling (HO3)
Renter Policy (HO4)

Condo Unit (HO6)
Rental Property (DP3)

EFF./CLOSING DATE:

* enter the date you need coverage to start

STREET ADDRESS:

CITY:

STATE:

Florida

ZIP CODE:

PROPERTY USAGE:

Primary Residence
Secondary Residence

Rental Property
Seasonal Occupancy

COUNTY:

INSIDE CITY LIMITS:

Yes No

COVERAGE A (BUILDING):

* if new home, enter purchase price (no commas)

CONSTRUCTION YEAR:

CONSTRUCTION TYPE:

Frame	Concrete Block
Stucco on Frame	Brick on Frame
Stucco on Block	Solid Brick
Other (specify):

ROOF SHAPE:
(more info)

Gable Hip Other

PROTECTION DEVICES:
(more info)

Centralized/Monitored Burglary System
Centralized/Monitored Fire System
Both of the above
Other

OPENING PROTECTIONS:

Class A (Hurricane Impact)
Class B (Basic Impact)
None

ROOF TO WALL CONNECTIONS:
(more info)

Toe Nails	Double Wraps
Clips	Unsure
Single Wraps

HOW DID YOU HEAR
ABOUT US?:

Print Ad	Website
Radio Ad	Word of Mouth
Other (specify):

NOTE: This information is for quoting purposes only. A quote will include standard coverage amounts and deductibles. Further information is required to complete an application and additional coverages and deductible options may be selected at that time, which could affect the premium.

For a more thorough quote please be prepared to provide a copy of the appraisal or selling detail, along with pictures, in addition to the information submitted on this form.

No coverage can be bound via this website by e-mail or by voice mail.