Wisconsin Home Insurance Quote

Wisconsin Home

Insurance Quote

We provide affordable Homeowners Insurance

policy services throughout Wisconsin!

Do you have questions about a

Wisconsin Home Insurance policy?

The Insurance Shoppe
of Chilton, WI offers
affordable and
experienced personal
insurance services
throughout Wisconsin.

In addition to Wisconsin
Home Insurance, we also
offer affordable
Wisconsin Auto
Insurance policy
premiums.

The Insurance Shoppe

105 Southside Shopping Center

Chilton, Wisconsin 53014

(920) 849-4534

Toll Free: 1-866-601-1200

Fax: (920) 849-4158

We are your local Calumet County, Wisconsin insurance agency, offering
affordable home insurance policy premiums to residents of the following
cities and counties: Chilton, New Holstein, Malone, Kiel, Hilbert, Forest
Junction, Potter, Reedsville, Brillion, Stockbridge, Sherwood, Hayton,
Brothertown, Marytown, Calumetville, Pipe, Johnsburg, Mt. Calvary, St.
Cloud, Elkhart Lake, Ada, Sheboygan, Cleveland, Manitowoc, Spring
Valley, Osman, Plymouth, Two Rivers, Whitelaw, Valders, St. Nazianz,
Newton, Collins, Kimberly, Kaukauna, Darboy, Oshkosh, Winnebago,
Appleton, Menasha, Neehah, Menchalville, Greenville, Holland, Little
Chute, Wrightstown, Morrison, Wayside, Kellnersville, Francis, Branch,
Cooperstown, Maribel, De Pere, Bellevue, Allouez, Ashwaubenon,
Denmark, Tisch Mills, Kewaunee, Howard, Green Bay, Oneida,
Luxemburg, New Franken, Pilsen, Anston, Black Creek, Freedom, New
London, Sheyboygan Falls, Plymouth, Greenbush, Fond du Lac, Peebles,
Taycheedah, Kohler, Howards Grove, Dundee, Cascade, West Bend,
North Fond du Lac, Eden, Waldo, Cedar Grove, Hingham, Fond du Lac
County, Sheboygan County, Brown County, Winnebago County,
Outagamie County, and Manitowoc County, WI.

Full Name:
Address to be Insured:
City:   Wisconsin
Zip Code:
Email Address: (Required)
Home Phone: Work Phone: Ext.
How to Contact You:
Date of Birth:             (mm/dd/yyyy)

Do you currently have Wisconsin Homeowners Insurance?
Coverage requested for?
Usage Type:
Years Lived at Address to be Insured:

Wisconsin Home Insurance Coverages & Limits of Liability:

Dwelling ($ value):
Additional Structures ($ value):
Personal Property ($ value):

Personal Liability (each occurence):
Medical Payments (each person):
Deductible:

Policy Endorsements:

Replacement Cost, Dwelling: Yes No
Replacement Cost, Contents: Yes No

Wisconsin Home Insurance - Dwelling Information:

Building Structure:
Year Dwelling Built:     Dwelling Square Feet:
Primary Heat Type:
Do you have a Wood Stove? If yes, is it on a separate flue?

Fireplace:
Full Baths:     Half Baths:
Garage:         Garage Size:
Basement:

Wiring Renovation:         Wiring Renovation Year:
Plumbing Renovation:     Plumbing Renovation Year:
Heating Renovation:       Heating Renovation Year:
Roofing Renovation:       Roofing Renovation Year:
Roof Type:     Roof Age (years):
Exterior Paint Renovation:     Exterior Paint Renovation Year:

Dwelling Distance from Fire Department: miles
Dwelling Occupied By:
Swimming Pool:              Diving Board:
Approved Fence:

Loss History:

Did you have any losses, whether or not paid by insurance, during
the last 3 years, at this dwelling location or any other location?
If the answer to the previous question was "Yes", please explain below.

Date                            Type                          Description of Loss           Loss Amount


Additional Information or Comments

Click on the "Submit Quote Information" button below to
send your Wisconsin Home Insurance quote request.**

**Information received from this Wisconsin Home Insurance quote request
form sent to The Insurance Shoppe, Ltd., will be for our use only and will
not be sold given to or distributed to any other parties. A quote will be based
on the home insurance policy information provided and does not guarantee
acceptance of the risk by us. The precise coverage afforded is subject to
meeting underwriting guidelines, and the terms, conditions and exclusions of
the policy as issued. By submitting this request you acknowledge that this is
neither an offer to insure nor a guarantee of insurance. Completion of this form
does not entitle you to a Wisconsin Home Insurance Policy. We are licensed
in Wisconsin will not provide quotes for other states.

Applicant Information