sihle Insurance Group About Sihle Insurance
>Liability/Umbrella Quote Request
Contact Information
Referred By:
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Real Estate Listings - List all owned, leased or occupied
residences, buildings, farms, land, etc
Location (city/state/zip) Description Yr. Built Occupancy
Automobiles - List all autos owned, leased or furnished for regular use. Recreational Vehicles - List all motorcycles, dune buggies, minibikes, etc.
Year Make & Model Year Type, Make, Model
Watercraft
Year Motor Type, Manufacturer
and Model
Length Horse
Power
Max
Speed
Cost
New
Current
Value
Waters
 Navigated
Operator Information
Name Date of Birth Occupation Employer
Additional Questions
Any aircraft owned, leased, chartered or furnished for regular use?
Any operators convicted for any traffic violations during the last 3 years?
Any operator have physical/mental impairment?  Not applicable in WI
Any swimming pool on premises?
Any real estate, vehicles, watercraft, aircraft used commercially
 or for business purposes?
Any real estate, vehicles, watercraft, aircraft owned hired
 leased or regularly used, not covered by primary policies?
Do you engage in any type of farming operation?
Do you hold any non-compensated positions?
Any full-time employees?
Any non-owned property exceeding $1,000 in value, in
 your care, custody or control?
Any business and/or professional activities included in 
the primary policies?
Does any primary policy have reduced limits of liability
 or eliminate coverage for specific exposures?
Any coverage declined, cancelled or non-renewed
 during the last 5 years?  Not applicable in MO.
Does applicant or any tenant have any animals or exotic pets?