Kaddatz, Zunker & Snelten
1350 Remington Road, Suite O
Schaumburg, IL  60173
(847) 755.1351 - (847) 755.1391 (fax)

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As unfortunate as it may be, disasters happen.  You need to be prepared to protect one of the most important investments you will make - your home.  In times of crisis it's important to know that you have people to help you when you need it.  Not to mention the right insurance coverage to assure you get back on your feet after a loss - no matter how large or small.

At KZS, we believe that insurance needs to be tailored to the individual customer.   It's important to take the time and make sure our clients have the coverage they need. 

If you would like a no-obligation quote, please complete the form below.  You will be contacted within 1 business day.  The information submitted via this form is received directly by our agency and will remain confidential.  Please fill in the information as complete as possible to assure a more accurate quote.  If you have a copy of your current policy - it will be very helpful.

First, some information about you.

Name:  

Street Address:  

City:  

State:  

  ZIP:  

Phone:  

Email:  

Contact me via:  

Why are you shopping?  

Now, some information about your home.

Construction:  

Year Built:  

Home Type:  

Security Features
(check all that apply)		 smoke detector
fire extinguisher
dead bolt locks
fire alarm (local)
burglar alarm (local)
fire alarm (service-monitored)
burglar alarm (service-monitored)

Updates:  if your home is over 30 years old, please provide the date of improvements/updates for all of the following:

 Plumbing
Wiring
Furnace
Roof
Paint

Do you have a basement?

 Yes  No

Finally, some information about your current coverage.   It would be helpful (but not required) to have a copy of your current declaration page for you to look at for reference.

Current Insurance Company:  
Expiration Date:  
Amount of Insurance Desired:  
Liability Amount:  
Medical Payments:  
Deductible:  
Number of claims in past 3 years:  
Date and description of any claims:  

 

 

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