Get Ny Application For Dwelling Insurance - The Potter Group

Completing the NY Application For Dwelling Insurance - The Potter Group online is an essential step to securing coverage for your property. This guide offers clear instructions to help you navigate each section of the application, ensuring a smooth submission process.

Follow the steps to effectively complete the form.

1. Click ‘Get Form’ button to obtain the application and open it in the editor.
2. Fill in the applicant information section. Enter your name as you want it to appear on the insurance policy, along with your mailing address, including city, state, and zip code. Provide the last four digits of your social security number, phone numbers, and any relevant identification numbers.
3. Complete the producer information by providing details about your insurance agent or broker. Include their name, contact numbers, and any licensing information.
4. Provide mortgagee information, including the names and addresses of your first and second mortgagees if applicable, along with loan numbers.
5. Fill out the location of the property to be insured, providing the street address, city, state, and zip code.
6. Specify the building construction and protection class. Indicate the year built, if the building is part of a frame row, and if it has any fire protection systems.
7. Identify the occupancy status of the building. Indicate whether it is occupied as an apartment building, single-family dwelling, or other types. Detail occupancy by floor and list any vacant areas.
8. Complete the valuation section, where you will state the date of purchase, purchase price, cost of improvements, estimated fair market value, and the amount selected for insurance coverage.
9. Mark the coverage information section by selecting the types of insurance you are applying for and the deposit amount you are enclosing.
10. List any loss information by detailing previous insured or uninsured losses in the last five years related to your property.
11. Answer general information questions, providing truthful responses about your insurance history and any relevant conditions affecting the property.
12. Review all answers in the remarks section, if necessary, to add additional explanations.
13. Sign the producer's statement, confirming you are a licensed agent, followed by your signature in the applicant’s statement, affirming the truth of the information provided.
14. Once all sections are completed, save your changes, then download, print, or share the filled-out form as needed.

Begin the process of completing your application online to ensure you have the coverage you need.