Homeowners Insurance

We've helped thousands of people in Maryland, Virginia, West Virginia and Pennsylvania make smart, insurance buying choices. We can help you too.

Give us a call at 301.662.1144 to get a prompt quote, and hear what options are available to you. Or fill out this easy-to-use form and we'll provide you with a quick response.

Personal Information
Name
Address
City
 State
 Zip
Email Address
Home Phone
 Work Phone
Current Homeowners Insurance Information
Current Homeowner Insurance Carrier
Renewal Date
Home Information
Personal Liability Coverage
Current Dwelling Value
Year Home Was Built
Type of Home
Type Construction
Type of Roof Age of Roof
Type of Plumbing Age of Plumbing
Type of Electric Age of Electric
Type of Heating Age of Heating
Options
Sprinkler System
Smoke Detectors
Fire Alarm Connected to Monitoring Service
Burglar Alarm Connected to Monitoring Service
Fire Protection
Distance to Fire Hydrant
Distance to Fire Department

Note: Homeowners insurance does not cover floods. If you are interested in acquiring coverage against floods please indicate so in the comments block below.

Do you own a trampoline?   Yes No
Do you have any pets?
Yes No (If yes, please list type and breed)
Have you submitted any claims in the past five years?
Yes No (If so, please describe. Include date(s) of loss and amount(s) paid)
Have you ever been refused, canceled, expired or non-renewed?
Yes No

Note: Many homeowner policies contain special limits of liability on items such as gold, silver, coins and other precious metals as well as jewelry, furs, silverware, pewter, firearms, watercrafts, fine arts, and business personal property. Arrangements to enhance your policy can be made to provide a much broader coverage. If you desire this coverage please indicate so in the comments block below.

Do you have any special hobby or items that you would like specifically insured?
Yes No (If yes, please list them here)

Comments / Remarks

Powell Insurance Agency | 97 Thomas Johnson Drive, Suite 201 | Frederick, MD 21702

NOTICE OF LICENSURE
Powell Insurance Agency is licensed to conduct business in Maryland, Pennsylvania, Virginia, and West Virginia. The information on this site is a solicitation to conduct business only in the aforementioned state(s) of authority.