Home Inspectors Liability Online Application

Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information

First Name *

Last Name *

Company Owner *

Formal Name of Business *

Business Type *

Street *

City *

County or Region (CANADA) *

State or Province (CANADA) *

ZIP / Postal Code *

Primary Phone Number *

Year Business Established *

How many years of experience do you have? *

Which home inspector’s associations do you belong to? *

If you belong to InterNACHI, please provide your InterNACHI member ID#

If you belong to ASHI, please provide your ASHI member ID#

Please list all States in which you inspect. *

Is your company a franchise? *

If yes, provide full legal name of franchisor:

How many inspections will you perform within the next 12 months? *

Estimated Annual Gross Revenue *

What were your prior year total gross revenues? *

What is your projected annual gross revenue from multi-family inspections (more than 4 family) only? *

What is your projected annual gross revenue from commercial inspections only? *

Number of Inspectors (including yourself) *

How many independent contractor inspectors will you be using this year to do home inspections for your company? *

What percentage of your work includes the subcontracting of work to others? *

Does your company use a standard written contract with clients? *

Do you get this contract signed 100% of the time? *

Do you take pictures during your inspections? *

On average, how many of these pictures will you use on the report to your client? *

How long does your average inspection take? *

Do you provide a recommended time frame for necessary repairs noted in the inspection report? *

Does each report provide the client a method of contacting you or your company? *

Do you provide referrals or recommendations for remediation needed? *

What type of reports do you use? *

What is the name of your software program that generates the inspection report? If you do not have one, state NONE. *

Do you use the same reporting format for each client? *

What type of clients do you have? (List % for each in next question to equal 100%) *

Hold down the Ctrl Key to make multiple selections.

Which inspection standards do you use? *

Is a Pre-Inspection Agreement/Contract signed 100% of the time? *

Has your inspection agreement/contract been reviewed by legal counsel? *

Has your inspection agreement/contract been provided to you by a professional association or franchise? *

Which additional coverages are you seeking? *

Hold down the Ctrl Key to make multiple selections.

For the additional services listed above, which services do you have a certification or licensed for? *

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Amount of Desired Insurance *

Do you currently have insurance? *

Prior Insurance *

Current Premium *

Current Insurance Provider *

Effective Date *

Current Policy End Date *

Retroactive Date on this policy

Number of E&O insurance claims filed with insurance carriers in the last 5 years: *

E-Mail Address *

How did you hear about us?

Additional Comments

Submission Validation

Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

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Location

Mailing Address Only
P.O. Box 868
Oakhurst, NJ 07755