Multifamily Insurance Form – Real Protect

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- Meet the Team
- Why realprotect?
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- Make a Policy Change
- File a Claim
Learning Center
FAQ
Partner With realprotect

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About
- Meet the Team
- Why realprotect?
Get a Quote
Policy Services
- Make a Policy Change
- File a Claim
Learning Center
FAQ
Partner With realprotect

Menu

About
- Meet the Team
- Why realprotect?
Get a Quote
Policy Services
- Make a Policy Change
- File a Claim
Learning Center
FAQ
Partner With realprotect

Service Your Account

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Multifamily Insurance Form

Please Complete the Form to Receive Your Quote:

"*" indicates required fields

Step 1 of 6

16%

Deal Name and/or Entity Name*

Loan Number

Contact Name*

First Last

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Are you a current realprotect customer?*

Yes

No

If yes, who is your agent?*

Location Information

Location Address*

Street Address Address Line 2 City State ZIP Code

Number of Buildings at Location*

1

2

3

Building 1

Number of Units Per Building*

Square Footage of Entire Building*

Year Built*

Year Purchased*

Occupancy %*

Exterior Construction*

Number of Stories*

Year of Latest Gut Rehab

If applicable

For Buildings Over 25 Years Old:
List the year of the last update below.

HVAC

Plumbing

Wiring

Roof

Are there any fuses, Federal Pacific/Stab-Loc or Zinsco Electrical Panels?*

Yes

No

Any aluminum wiring other than main feeds?*

Yes

No

Any plumbing with galvanized of polybutylene piping?*

Yes

No

Is building sprinklered?*

Yes

No

Smoke/fire alarms?*

Yes

No

If yes*

Are there smoke detectors in all units?*

Yes

No

If yes*

Number of Subsidized Tenants*

Number of Students Tenants*

Are there any non-residential occupants?*

Yes

No

If yes, what type?*

eg. Mercantile, office, restaurant, etc.

Number of Swimming Pools

Have any buildings experienced an insurance loss?*

Yes

No

If yes, please explain and provide claim or loss details*

Building 2

Number of Unit Per Building*

Square Footage of Entire Building*

Year Built*

Year Purchased*

Occupancy %*

Exterior Construction*

Number of Stories*

Year of Latest Gut Rehab

If applicable

For Buildings Over 25 Years Old:
List the year of the last update below.

HVAC

Plumbing

Wiring

Roof

Are there any fuses, Federal Pacific/Stab-Loc or Zinsco Electrical Panels?*

Yes

No

Any aluminum wiring other than main feeds?*

Yes

No

Any plumbing with galvanized of polybutylene piping?*

Yes

No

Is building sprinklered?*

Yes

No

Smoke/fire alarms*

Yes

No

If yes*

Are there smoke detectors in all units?*

Yes

No

If yes*

Number of Subsidized Tenants*

Number of Student Tenants*

Are there any non-residential occupants?*

Yes

No

If yes, what type?*

eg. Mercantile, office, restaurant, etc.

Number of Swimming Pools

Have any buildings experienced an insurance loss?*

Yes

No

If yes, please explain and provide claim or loss details*

Building 3

Number of Units Per Building*

Square Footage of Entire Building*

Year Built*

Year Purchased*

Occupancy %*

Exterior Construction*

Number of Stories*

Year of Latest Gut Rehab

If available

For Buildings Over 25 Years Old:
List the year of the last update below.

HVAC

Plumbing

Wiring

Roof

Are there any fuses, Federal Pacific/Stab-Loc or Zinsco Electrical Panels?*

Yes

No

Any aluminum wiring other than main feeds?*

Yes

No

Any plumbing with galvanized of polybutylene piping?*

Yes

No

Is building sprinklered?*

Yes

No

Smoke/fire alarms*

Yes

No

If yes*

Are there smoke detectors in all units?*

Yes

No

If yes*

Number of Subsidized Tenants*

Number of Student Tenants*

Are there any non-residential occupants?*

Yes

No

If yes, what type?*

eg. Mercantile, office, restaurant, etc.

Number of swimming pools

Have any buildings experienced an insurance loss?*

Yes

No

If yes, please explain and provide claim or loss details*

Are tenants required to obtain insurance?*

Yes

No

Who performs day to day property management?*

Owner

Employee

Third Party

Property Manager Name*

First Last

Is grilling permitted on balconies or patios within 15 feet of buildings?*

Yes

No

Is this a designated smoke free facility?*

Yes

No

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Comments

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Gainesville, GA 30501
1-800-579-0652
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