Square Footage (Not including basement):
request an homeowners insurance quote
Style of Home (2 Story, Ranch, etc):
Do you have a Basement, Crawl, etc?
Have you had any claims in the last 5 years?
Thank you for contacting us! If needed, you will hear back within 48-72 hours.
Do you have a garage?
How long with current provider?
Mikkelsen, Kelly, & Kipp Insurance Agency Inc.
Report A Claim
Meet Your Agent
Pay Your Bill
MKK Referral Program
Date of Birth:
Purchase Price/Current Insured Value?
Is Garage attached, detached, etc? How Many Cars?
Do you have a fireplace?
Exterior Walls (Brick, Vinyl, etc):
How many bathrooms?
When was your Heating Updated?
When was your Roof Updated?
Is Basement Finished?
Prior Insurance Company:
Number of Stories:
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