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Choose your coverage needs and we’ll match you with the right options.

Contact Info & Consent

Full Name *

Email *

Phone *

State *

Postal Code *

I consent to be contacted by phone, email, or text about insurance-related information.

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Property Basics

Do you need: *

Homeowners

Renters

Condo

Landlord coverage

Property Address *

Property Type: *

Single Family
Townhome
Condo Unit
Multi-family
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Year Built / Sq Ft / Stories *

Is the home your primary residence? *

Yes

No

Approximate year last updated (if known):

Roof:

Plumbing:

Electrical

HVAC:

Coverage Info

Do you currently have home or renters insurance?

Yes

No

Carrier & Expiration Date

Mortgage lender

Any claims in the past 5 years? *

Yes

No

Brief description (“water damage 2022,” “hail claim 2023,” etc.)

Any dogs, pools, or trampolines on the property?

Yes

No

Please describe (helps avoid carrier declines).

What matters most to you?

Lowest premium possible

Balanced coverage (structure + contents + liability)

Replacement cost protection

Bundle with auto for discounts

Add-ons you’re interested in?

Flood

Earthquake

Umbrella

None

Preferred communication method:

Call

Text

Email

Schedule Meeting

Optional upload for speed

Upload appraisal, inspection, or existing declaration page:

Would you like us to focus on:

Finding the most affordable options

Balancing cost and coverage

Maximizing protection regardless of price

Thanks for completing your property insurance request!

Our licensed advisors will review your details and compare multiple carriers to find the best fit for your home and budget.

Expect a call, text, or email within 24 hours.”

Schedule a Call: Book Now

Fortune Shield Insurance – Home • Renters • Landlord • Condo

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Fortune Shield is a licensed independent insurance agency. Not all products are available in all states. Eligibility and benefits vary by carrier and state. Enrollment subject to approval. Fortune Shield is not connected with or endorsed by the U.S. government or the federal Medicare program.

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