Skip to content
Pay My Bill
Starke Mobile App
[email protected]
1-334-263-5535
Home
About Us
Leadership Team
Starke Mission and Core Values
Careers
Community Involvement
Testimonials
Commercial Solutions
Business Insurance
Employee Benefits
Surety
Risk Management
Personal Solutions
Home Insurance
Life insurance
Auto insurance
Industry Knowledge
Industries
Designations
Online Resources
News
Contact Us
Get A Quote | Personal Lines
File a Claim
Refer A Friend
Menu
Home
About Us
Leadership Team
Starke Mission and Core Values
Careers
Community Involvement
Testimonials
Commercial Solutions
Business Insurance
Employee Benefits
Surety
Risk Management
Personal Solutions
Home Insurance
Life insurance
Auto insurance
Industry Knowledge
Industries
Designations
Online Resources
News
Contact Us
Get A Quote | Personal Lines
File a Claim
Refer A Friend
Get A Quote
Search
Search
Close this search box.
Company Name
Business Enitity
LLC
S-CORP
INC
PC
C-CORP
CORP
Selection Option
FEIN
Address
Mailing Address same as Location Address
Yes
No
First Name
Last Name
Email
Phone
Business Classification
Year Business started
Effective Date
Number of Employees
Total Payroll
Annual Revenue
Number of years in management
Do you hold any prior policy?
Yes
No
Did this business have any claims or losses in the last 3 years?
Yes
No
Does the insured own the building?
Yes
No
Is the insured the sole occupant of the building?
Yes
No
Building Sq. Footage
Number of Stories
Number of Units
Square Footage Insured Occupies
Is the building sprinklered?
Yes
No
Is the building roof flat?
Yes
No
Replacement Cost
Burglar Alarm Type
Fire Alarm Type
Year building was built
Business Personal Property
General Liability Limits
0-$500,000
$500,000-1,000,000
$1,000,000-$2,000,000
$2,000,000-3,000,000
3,000,000-$5,000,000
$5,000,000-$10,000,000
$10,000,000+
Employment Practices Liability Coverage
Yes
No
Deductable Limits
Cyber Coverage
Yes
No
Hired & Non Owned Auto Coverage
Yes
No
Additional Information
SUBMIT FORM