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Telephone:
Local: (817)285-1800
Metro: (972)285-1800
Fax: (817)285-1818

TollFree:
(800)929-2424

Standard Insurance
8190 Precinct Line Rd
Suite 101
Colleyville, Texas 76034

Mail Payments to:
P.O. Box 650256
Dallas, Texas 75265

© 2012 Standard Insurance Agency
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Home Owners Quote Request

Please provide us with the following information as completely possible, then click "submit."

A representative will review your submission and contact you shortly with a premium quotation. Note: This form is for Texas Residents only or anyone relocating to Texas.

This is not an application for insurance.

Please note that this is not an application for insurance
Name
Address:
City:
County:
State:
Zip Code:
Construction of Home (Frame, Brick, Brick Veneer, Stucco/other):
Age of Home and Roof: years
Roof shingle type (composition, wood, tile, metal, etc.):
Current Insurance Company:
How long insured there:
Renewal or Expiration date:
Current amount of Coverage "A" - Dwelling:
Any claims or losses in the last 5 years:
If "Yes," when and what kind plus amount paid:
Home phone #:
Work phone #:
Email address:
Close date:
How long have you lived in home?