Package Test Copy - Drag N' Drop FormBuilder

Package Test Copy

General Information

Did you get interior photos? (All buildings must have interior photos unless it's residential with no access) *
- Yes
- No
- Residential with no access

This client requires interior photos

Need to correct address? *
- Yes
- No correction needed

How was the corrected address obtained? *
- Insured
- Agent
- Internet search
- Office assistance
- Other

Other: *

Address: *
- Street address
- Street address 2
- - City
  - State / Province
- - zip code

Were you able to obtain all the rating basis and special notes? *
- Yes
- No

Change report type to "Unable to complete". Save your photos for future use.

Person interviewed? *
- Yes
- No

Person interviewed (First and Last name): *

Position and/or title: *
- Owner
- Bookkeeper
- Manager
- Assistant Manager
- Tenant
- Other

You are not to interview the agent for information in the report.

Other title: *

Date of interview (Needs visibility rule for contained values): *
- Month
- Day
- Year

Occupancy

Select what best fits the property: *

Property description: The risk is a single family dwelling.

Do not use "Other" unless you have a very unusual type of business. If the reviewers can change it they will and it will be returned.

Types of building(s) on property: *
- Common buildings on property
- Mobile homes owned by the insured
- Single family dwelling
- No buildings

Swimming pool *
- Yes
- None

Select all that apply1: *
- None
- Apartment
- Convenience store
- Daycare
- Hotel/Motel
- Laundromat/Dry cleaners
- Nightclub
- Playground
- Restaurant

Select all that apply: *
- None
- Cooking
- Daycare
- Playground

Select all that apply: *
- None
- Cooking

Select all that apply: *
- None
- Cooking
- Bar/Nightclub