Pappalardo Agency, Inc.
Personal Insurance Risk Management Check List DOWNLOAD THIS IN PDF (click here)
Home, Condo, Rentals, Garage and Vacation Homes YES NO
1. Your home is at a set coverage amount, are you sure that is enough should you have a total loss? ____ ____
2. Does your home have an alarm for fire and/or burglary notifying police or fire department? ____ ____
3. Have you made any remodeling changes to your home over $5,000 that we are not aware of? ____ ____
4. Do you desire flood insurance for your home and personal property? ____ ____
5. Do you have children away at college? Living in a Dorm? Off Campus? Do they have a vehicle
with them? Attending full time? ____ ____
6. Do you rent any part of your home or other buildings on your property to anyone? ____ ____
7. Do you use any part of your home or other buildings for business purposes? ____ ____
8. Is your home titled in a Trust or to someone other than you or your spouse? ____ ____
Personal Property
1. Do you have any collectibles such as antiques, fine arts, stamps, coins or baseball cards? ____ ____
2. Do you own valuable jewelry or furs that you want protected from loss? ____ ____
3. Do you own valuable sporting equipment and/or guns? ____ ____
4. Do you have silverware that you need protected? ____ ____
5. Do you have valuable camera or photo equipment? Do you use them for money? ____ ____
6. Do you own a personal computer used to store financial or business data? ____ ____
7. Do you have any Business Personal Property kept in your home or other structures? ____ ____
8. Do you own any equipment, instruments or tools used in your occupation or trade? ____ ____
Liability Coverage
1. Do you operate a studio or office in your home or have a home-based business? ____ ____
2. Do you have a hobby that brings in any money? ____ ____
3. Do you have clients who come into your home to purchase products or services? ____ ____
4. Do your children have private jobs like babysitting, mowing grass, or developing websites? ____ ____
5. Do you own any property other than your home, not insured by us; this could be rental property,
office property, farmland, etc? ____ ____
6. Do you own any vacation property not insured by us, cabin, trailer, land share, Condo, etc? ____ ____
7. Do you have anyone employed, for example a nanny or housecleaner that may need Workers
Compensation Coverage? ____ ____
Automobile Coverage
1. Do we insure all the vehicles you own? If not, who does? __________________________________
When does it renew? _____________________________ ____ ____
2. Do you have any drivers in your home other than you & your spouse? ____ ____
3. Do you have any students away at college over 100 miles from home? With or without a vehicle?
Are they attending full time? ____ ____
4. Do you have a company vehicle or a vehicle given to you for regular daily use that you do not own? ____ ____
5. Do you have NON-manufacturer installed items in your vehicle? ____ ____
6. If your vehicle were involved in an accident, would you like a rental car? ____ ____
7. How about towing, car breakdowns, need coverage? Do you have or want AAA? ____ ____
8. Do you own any motorcycles, mopeds, ATVs, Golf Carts, Antique Autos, Motor Homes,
Trailers, Motor homes or Trailers? ____ ____
9. Do you own a new vehicle or currently need loan/lease gap coverage on a vehicle? ____ ____
Umbrella Liability Policy Yes No
1. Imagine a bad auto accident, the other party sues for $769,000, do you want all of that covered? ____ ____
2. Do you own any animal that could bite someone or cause a lawsuit? ____ ____
3. Do you own a trampoline or swimming pool? ____ ____
4. If your net worth is more than your auto or home insurance liability limit, would you like to have
it protected? ____ ____
Other Insurance Risks
1. Do you own any of these items NOT insured by us? Boat, Motor home, Camper, Motorcycle, Golf Cart
Jet Ski, 4 wheeler, other recreational item or aircraft? ____ ____
2. Do you own a business not insured by us? ____ ____
When does that insurance renew? _______________________________ ____ ____
Financial Planning
1. If you get sick or injured and can’t work for 7-13 weeks, can you make your car payments
and/or house payments? ____ ____
2. Would you like a FREE Term Life insurance quote? ____ ____
3 Are you interested in information on Long Term Care? ____ ____
4. Are you interested in a Health Insurance quote? ____ ____
Please Update Emergency Contact Numbers In case of Claim and We Need to Contact you.
Name _______________________________ Cell #__________________________
Email address __________________________________
Spouse Name_____________________________________________ __Cell#___________________________
Email Address __________________________________
Emergency Contact Program
Imagine this, Disaster strikes – and we don’t know where to find you. For these situations, we have created Pappalardo Agency Emergency Contact Program. We had a situation where an insured of ours had his house burglarized. The neighbors notified the Police and the Police called us because of some numbers the insured had written down by his phone. We were able to start the claim but had no way of contacting the insured or his family. We ask that you give us every way to contact you in the event of an emergency. In addition could you set up some special contacts for us in the event something happens and you are unreachable? This person could be family, friends, or neighbors, anyone who you would want to handle immediate issues in case you were out of town. We promise NEVER to call these individuals, unless you have a claim and we can’t reach you. By providing the names of two EMERGENCY CONTACTS we may be able to prevent a situation from getting worse.
1. Name: _______________________________________ph# _______________________________________
Address_________________________________________________________________________________
2. Name: _______________________________________ ph# _______________________________________
Address_________________________________________________________________________________