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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
ESTIMATED REPLACEMENT COST: $ 
*
if new home, enter purchase price (no commas)
YEAR OF CONSTR.:
CONSTR. TYPE: Frame
Stucco on Frame
Stucco on Block
Other (specify):
Concrete Block
Brick on Frame
Solid Brick
ROOF SHAPE:
(more info)
Gable
Hip
Other
PROTECTION DEVICES: Centralized/Monitored Burglary System
Centralized/Monitored Fire System
Both of the above
Other
OPENING PROTECTIONS:
(more info)
Class A (Hurricane Impact)
Class B (Basic Impact)
None
ROOF TO WALL CONNECTIONS:
(more info)
Toe Nails
Clips
Single Wraps
Double Wraps
Unsure

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.

  
 
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