Please complete the information requested below as accurately as possible, and upon your submission an Personal Insurance Division representative will contact you within 24 hours to provide your quote.

If you wish to speak to an Sterling representative directly, please call our Personal Insurance Division at (586) 323-5700. For the Lansing office call (517) 323-3737.

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Personal Information

Name:*

Employer/Occupation:

Email:*

Address:*

 

City:*

State:*

Zip Code:*

Phone:*

Date of Birth:

Current Home Insurance

Present Insurer:*

Annual Premium:*

Current Dwelling Amount:

Deductible:*

Any claims in the past 3 years?* - Select - Yes No

About Your Home

Year Built:*

Current Market Value:

Construction Type:* - Select - Brick Stone Frame/Siding

Total square footage:

Number of stories:*

Home specifications:* - Select - Finished Basement Unfinished Basement Crawl Space Slab

Other specifications:* Fireplace Central Air Conditioning Wood Stove

Pets:* - Select - Yes No

Trampoline:* - Select - Yes No

Number of full baths:* - Select - 1 2 3 4 5 6

Number of half baths:* - Select - 1 2 3 4

Garage:* - Select - Attached Detached None

Size of garage: - Select - 1 Car 2 Car 3 Car

Discount Qualifications

Alarm system:* - Select - Yes No

Fire extinguisher:* - Select - Yes No

Deadbolt locks:* - Select - Yes No

Non-smoker:* - Select - Yes No

Remarks:

 

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