Home Inspectors Liability Online Application

Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information

First Name

Required

Last Name

Required

Company Owner

Required

Formal Name of Business

Required

Business Type

Required

Street

Required

City

Required

County

Required

State

Required

ZIP / Postal Code

Required

Primary Phone Number

Required

Year Business Established

Required

How many years of experience do you have?

Required

Which home inspector’s associations do you belong to?

Required

If you belong to InterNACHI, please provide your InterNACHI member ID#

Optional

If you belong to ASHI, please provide your ASHI member ID#

Optional

Please list all States in which you inspect.

Required

Is your company a franchise?

Required

If yes, provide full legal name of franchisor:

Optional

How many inspections will you perform within the next 12 months?

Required

Estimated Annual Gross Revenue

Required

What were your prior year total gross revenues?

Required

What is your projected annual gross revenue from multi-family inspections (more than 4 family) only?

Required

What is your projected annual gross revenue from commercial inspections only?

Required

Number of Inspectors (including yourself)

Required

How many independent contractor inspectors will you be using this year to do home inspections for your company?

Required

What percentage of your work includes the subcontracting of work to others?

Required

Does your company use a standard written contract with clients?

Required

Do you get this contract signed 100% of the time?

Required

Do you take pictures during your inspections?

Required

On average, how many of these pictures will you use on the report to your client?

Required

How long does your average inspection take?

Required

Do you provide a recommended time frame for necessary repairs noted in the inspection report?

Required

Does each report provide the client a method of contacting you or your company?

Required

Do you provide referrals or recommendations for remediation needed?

Required

What type of reports do you use?

Required

What is the name of your software program that generates the inspection report? If you do not have one, state NONE.

Required

Do you use the same reporting format for each client?

Required

What type of clients do you have? (List % for each in next question to equal 100%)

Required

Hold down the Ctrl Key to make multiple selections.

Check all that apply. Are you a:

Required

Hold down the Ctrl Key to make multiple selections.

Which inspection standards do you use?

Required

Is a Pre-Inspection Agreement/Contract signed 100% of the time?

Required

Has your inspection agreement/contract been reviewed by legal counsel?

Required

Has your inspection agreement/contract been provided to you by a professional association or franchise?

Required

Which additional coverages are you seeking?

Required

Hold down the Ctrl Key to make multiple selections.

For the additional services listed above, which services do you have a certification or licensed for?

Required

Hold down the Ctrl Key to make multiple selections.

Amount of Desired Insurance

Required

Do you currently have insurance?

Required

Prior Insurance

Required

Current Premium

Required

Current Insurance Provider

Required

Effective Date

Required

Current Policy End Date

Required

Number of E&O insurance claims filed with insurance carriers in the last 5 years:

Required

E-Mail Address

Required

How did you hear about us?

Optional

Additional Comments

Optional

Submission Validation

Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

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Location

Mailing Address Only
P.O. Box 868
Oakhurst, NJ 07755