Follow the steps to complete the questionnaire successfully.

1. Begin by selecting the ‘Get Form’ button to retrieve the questionnaire and open it in your browser.
2. In the general information section, provide your full name, contact phone numbers, email address, and occupation. If applicable, include the same details for your spouse or partner.
3. In the primary home information section, enter your home’s street address, type of property, and other relevant details. Indicate whether any part of the property is rented out.
4. Fill in information regarding the year built, number of stories, square footage, roof, and foundation types. Make sure to include any alarms such as low temperature or water flow alarms.
5. Proceed to the automobile information section, listing the year, make, and model of your vehicles, as well as the primary drivers and their usage.
6. Detail any past losses, accidents, or moving violations for the past five to ten years, ensuring that you list the date, description, and the driver involved.
7. In the valuables information section, classify valuable items and provide an estimated total value with additional comments, including descriptions for specific items.
8. Confirm your exposure information by stating the number of properties owned, automobiles, motorcycles, and any board positions or domestic employees.
9. If applicable, complete the secondary or seasonal home information following the same format as the primary home section.
10. Review all entries for accuracy, then save your changes. You can download, print, or share the completed form as needed.

Complete the Dwight Rudd Insurance Confidential Client Questionnaire online to ensure you have adequate insurance coverage.