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2Insurance

3The Basics

4About You

5Details

6Auto Details

7Driver Details

8Details

9Preferences

Confirm your experience

Select Customer

Customer

What type of insurance quote do you need today?(Required)

If you need to bundle, make sure to select both.

Home

Auto

Renters

About the property

Property Address

Street 1(Required)

Street 2

City(Required)

State(Required)

Zipcode(Required)

Property(Required)

Single Family Home

Condo

Multi-Family Home (2-4 units)

Townhome

When would you like this policy to start?(Required)

MM slash DD slash YYYY

Do you currently have a Bamboo policy for this property or have you received a Bamboo quote from another company for this property within the past 30 days?(Required)

Yes

Nice! Since you selected "Yes", that means you still have an active quote and you won't be able to continue this form. Please call (833) 922-6266. We’ll get you connected with the agent who provided that quote so you can continue with the purchase of your Bamboo policy.

Personal Information

Your Name(Required)

First Last

Birthday(Required)

MM slash DD slash YYYY

Email Address(Required)

Phone Number(Required)

Primary Address (where the vehicle is garaged.)

Street 1

Street 2

City

State

Zipcode

Property Details

Is this currently or will this be your primary residence?(Required)

Yes

How will this home be used?(Required)

Personal vacation home

Renting it out

What year was the roof last replaced?(Required)

E.g.: 2018

What year did you purchase the home?(Required)

E.g.: 2018

Is the home under the name of a trust and/or LLC?(Required)

Yes

What is the name of the trust / LLC?(Required)

What type of roof does it have?(Required)

Asphalt Shingle

Tile

Metal

Flat

All Other

Does the home have...

A hot tub, pool, or spa?(Required)

Yes

Dogs living on the property?(Required)

Yes

Solar panels?(Required)

Yes

A fire hydrant within 1,000 feet of the property?(Required)

Yes

And/or is the subject of any of the following: unrepaired damage, known potential defects, open or pending claims of any kind, property disputes and/or lawsuits?(Required)

Yes

Any fuse(s) providing power to any portion of the dwelling?(Required)

Yes

Any business with foot traffic into your home (e.g. Hairdresser, counselor, daycare, Airbnb)? Does not include home offices.(Required)

Yes

Any additional information we should know?

Auto Details

What’s the year, make, and model of your car? Please also provide the VIN, if available.
Do note, your VIN is optional now but will be required later to generate your quote.

Year(Required)

Make(Required)

Model(Required)

Untitled

Have additional vehicles that need coverage? List those below.

Year

Make

Model

VIN

Add another car

How will you use this car?(Required)

Personal

Business

Will you use it for ridesharing or delivery of goods?(Required)

Yes

Driver Details

Your Driver’s License Number (optional)

Additional Drivers

Please list every individual in the household aged 14 or above. Even if they don’t have a driver’s license quite yet, it’s important to have them listed on your auto insurance policy.

First Name

Last Name

Date of Birth

Driver’s License Number (optional)

Add another driver

Details

How much property coverage would you need?

If you had to replace all of your belongings, how much would that cost?

How much liability coverage will you need?

This may protect you if a visitor gets hurt at your place or you damage landlord property.

About the rental property

Property Address

Street 1(Required)

Street 2

City(Required)

State(Required)

Zipcode(Required)

Preferences

Can we text you?

Yes

By checking "Yes" and submitting this form, you expressly consent. Our Privacy Policy gives you a better idea of what we'll text you about.

Did you know? There are some things that homeowners insurance DOESN'T fully cover. If you live in certain risk-prone areas of the country or desire coverage for your valuables, let us know by selecting those below.

Auto

Earthquake

Flood

Jewelry

Smartphone

Earthquake

Flood

Home

Jewelry

Renters

Smartphone

Earthquake

Flood

Jewelry

Smartphone

Earthquake

Flood

Jewelry

Smartphone

Get a Quote

Get started on your quote today!

Auto

Renters

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Get started on your quote today!

Confirm your experience

About the property

Personal Information

Property Details

Does the home have...

Auto Details

Driver Details

Additional Drivers

Details

About the rental property

Preferences

Get started on your quote today!

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