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E-mail Questions to:
rick@lwshortins.com

Toll Free: 866-786-7484 Phone: 843-357-7493
Fax: 843-357-8082

Contact Address:
L.W. Short Insurance, Inc.
11945 Grand Haven, Drive,
Suite H
Murrells Inlet, SC 29576

Click for the BBB Business Review of this Insurance Companies in Murrells Inlet SC

 
 
On-Line Flood
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!


Your Name:
Property Address:
City:
State:
Zip/Postal:
E-Mail (REQUIRED):
E-Mail (again for accuracy):
Phone:
Fax (optional):
 
Dwelling Information
Year Home Built:
 
Home Square footage:
 
Flood ZONE NUMBER:
(look on current policy, if any)
 
Flood COMMUNITY NUMBER:
(look on current policy, if any.)
 
Number of units: 1 family Duplex
3 Family 4 Family
 
Type foundation: Slab Crawlspace over slab
Pier & Post Other (list in remarks)
 
Type Roof: Shingle Wood Shake
Tar/Gravel Spanish Tile
 
Number of stories: One 1.5
Two Three
If more than 1 story, are some contents on ground floor, contents ONLY above the first floor? On ground floor
Above first floor only
 
Currently Insured? Yes No
Name of Carrier & how long insured?
Prior Claims? Yes No
Describe claims in detail:
 
Plumbing type: Copper Galvanized
Mixed (Copper/Galvanized)
 
Circuit Breakers or fuses? Breakers Fuses

# Bedrooms: # Bathrooms:
 
# Fireplaces: # Chimneys:
 
Special features
(i.e., deck, air conditioning, alarm systems, pool, etc.)
 
Coverages:
Dwelling Cov. $ Contents $
Deductible $
($250, $500, $1,000, etc.)
 
 
Comments/Remarks:
 
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L.W. Short Insurance, Inc. | 11945 Grand Have Dr., Suite H | Murrells Inlet, SC 29576
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