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Wind & Hail Deductible Buy-Down Quote
Independent agency — we shop multiple carriers to find your best rate.
👤 Contact Info
First Name
*
Last Name
*
Phone
*
Email
*
Date of Birth (needed to start your quote)
*
📋 Wind & Hail Deductible Buy-Down Quote Details
Address
*
OK
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Previous (under 2 years) or Mailing Address
(not required)
OK
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Construction Type:
*
Frame - Wood-frame construction
Joisted masonry (masonry walls with wood joisted roof/floors)
Brick Veneer (wood frame with brick exterior)
Non-Combustible - Made entirely of non-combustible materials (e.g., metal walls/roof)
Masonry Non-Combustible - Masonry exterior walls with non-combustible interior support
Fire Resistive - Reinforced concrete or protected steel - fire resistance rating of at least 2 hours
Roof Type:
*
Asphalt/Shingle (most common)
Tile
Wood Shingle
Slate
Metal
Distance to Saltwater:
*
<1000 Feet
1,000 ft-1 Mile
1 Mile - 10 Miles
10+ Miles
Any Losses in the Past 5 Years?
*
Yes
No
If you have had a claim/losses:
(not required)
Roof
Theft
Water
Property ownership
*
Renewal
New Purchase
Pending Offer
Do you have a Mortgage?
*
Yes
No
Deductible Buy Back Retention?
*
$2,500
$5,000
$10,000
$25,000
$50,000
Wind/Hail Deductible On Your Current Policy
*
1%
2%
3%
5%
Property Information (Found on your Insurance Policy)
(not required)
Property Carrier
*
Property Policy Number:
(not required)
Overlying Policy Coverage in Place (Found On Your Declaration Sheet)
*
When do you want your policy to start?
*
How would you like us to contact you?
(not required)
Select…
Call
Email
Text
Do you have coverage for this now?
*
Yes
No
Who is it with now?
(not required)
When does that policy expire?
(not required)
NOTES - Please explain any losses in the previous 5 Years.
(not required)
📎 Documents
Upload your old policy
(not required)
Up to 5 files total, 10 MB each — PDF, photos, or documents.
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OKC Insurance Brokers
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