Applicant Information

First Name:

Last Name:

Address:

City:

TEXAS

Zip Code:

Daytime Phone:

Cell Phone:


Email:  (Required)


How Best To Contact You:
Select One Cell Phone Daytime Phone Email

Have flood insurance:
Select One Yes No

Select Policy Type:
Select One Regular Preferred


Your Flood Zone (ex: A, B, C, etc.):

County:



Building Occupancy:
Select One Single Occupancy 2 to 4 Family Other Residential Non-Residential


Are you applying for this flood
insurance policy on behalf of the
lender for the Mortgage Portfolio
Protection Program:

Select One Yes No


Condo Association and
Residential Building:

Select One Yes No

Has property incurred
2 or more losses:

Select One Yes No

Is property granfathered
into a B, C, or X Zone:

Select One Yes No



Coverage Information

Replacement Cost:


Total Building Coverage:


Total Contents Coverage:




Building Information

Building Type:
Select One 1 Floor Split-Level 2 Floors 3 or more Floors Townhouse/Rowhouse Manufactured Home

Construction Date:


Number of units in building:
Select One 0 1 2 3 4 5 or more


Condominium Association:
Select One Yes No


Basement / Enclosure of Crawl Space:
Select One None Basement Enclosure or Crawl Space

Does enclosure or crawl space
have compliant venting:

Select One Yes No

Is your Basement or Enclosure
of Crawl Space finished:

Select One Yes No


Does your Basement or Enclosure
of Crawl Space have machinery
or equipment:

Select One Yes No

Is Building Elevated:
Select One Yes No

Lowest floor which includes living
area, is off the ground by means of:

Select One Piles Posts Piers Columns Solid Perimeter Walls Parallel Walls Other

Lower floor area used for:
Select One Parking Storage Access Other

Square foot area:


Lowest floor - Enclosure Walls:
Select One Breakaway Solid Perimeter Lattice Other


Contents Location:
Select One Lowest Floor Only - Above Ground Level Lowest Floor Above Ground Level & Higher Floors Above Ground Level by 1 Floor of More



Additional Information

Is building flood proofed:
Select One Yes No

Wave height adjustmen:
Select One Yes No



Click the "Submit Quote Request"
button below to send your Texas
Flood Insurance request to
Texans Insurance & Financial Group.


***By submitting this request you
acknowledge that this is neither
an offer to insure nor a guarantee
of insurance.***








We are a Sugar Land, TX insurance
agency offering affordable Texas
flood insurance policy quotes
in the following towns, cities and
counties in the Houston, Texas area:
Meadows, Town West, Four Corners,
Crabb, Booth, Thompsons, Houston,
Manvel, Pleak, Kendleton, Eagle Lake,
Sandy Point, Beasley, Rosenberg,
Richmond, Orchard, Fulshear, Juliff,
Arcola, Needville, Frydek, Rosharon,
Bonney, East Bernard, Lissie, Elm Grove,
Spanish Camp, Wharton, Guy, Bellville,
Wallis, Pasadena, Deer Park, Fresno,
Pearland, Galena Park, Jacinto City,
La Porte, Bellaire, West University Place,
Cloverleaf, Beaumont Place, Spring
Valley, South Houston, Iowa Colony,
Hilshire Village, Humble, Houmont Park,
Friendswood, League City, Alvin, Mission
Bend, Stafford, Missouri City, Texas City,
Webster, Dickinson, Baytown,
Channelview, Highlands, Seabrook,
Bacliff, La Marque, Jersey Village, Lake
Jackson, Surfside Beach, Algoa,
Santa Fe, Barker, Katy, Sealy, Dayton,
Angleton, Freeport, Bammel, Kohrville,
Bay City, Brenham, Addicks, Brookshire,
San Felipe, Hockley, Waller, Prairie View,
New Caney, Beach City, Nassau Bay,
North Houston, Hempstead, Tomball,
The Woodlands, Burr, Iago, Boling,
Peters, Cat Spring, Burleigh, Waller
County, Wharton County, Brazoria
County, Harris County, and Fort Bend
County, TX. We can also offer a Texas
flood insurance quote
throughout the Lone Star state, including
in Beaumont, Austin, Waco, Fort Worth,
Dallas, and San Antonio, TX.


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OasisEarth Internet Group
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