Wexford12703 Perry Highway Suite BWexford, PA 15090
Michael is asking...
What is the model year of your vehicle?
This vehicle is...
This vehicle is primarily used for...
Commuting (work and/or school)
Pleasure (when the mood strikes)
Business (my car works for me)
I usually drive...
This vehicle is used for...
Work and/or School Commute Details
Rent or Own?
I was licensed before age 18 in the US/Canada
Military or Government Affiliation
Is this a business?
Year your business was started.
Do you have a DBA?("Doing Business As")
This is a home-based business.
I have multiple locations.
I own this location.
Coverage Start Date:
Are there current claims with this business?
Are you currently insured?
Are you in need of liability coverage?
Are you insuring a property?
What year was your building built?
I own this location
Does Your Building Have...
Listed Business Address:
Address of the property being insured:
Have you lived here longer than 3 years?
What year was your home built?
This property is a...
When did you purchase your home?
Is this your primary residence?
The property has a...
Do you have a pool?
Do you have a deck?
Do you have a porch?
Do you have a fireplace?
The foundation of this property is...
Select any safety devices your home has:
Burglar alarm that sounds
Fire alarm that reports to a fire station or security company
Multiple fire sprinklers throughout your home
A backup generator
Home automation system
Have you made any claims in the past five years?
Do you smoke?
Do you have a dog(s)?
Meet Michael Raisley