HKS Blog
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Our Story
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ADDITIONAL RESOURCES
Michigan Auto Reform Information
HKS Skills Skate Info
HKS in the Community
Customer Care
Request Auto Certificate
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Request A Change
Refer A Friend
Request Auto Quote
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Services
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Hacker-King-Sherry
HKS Blog
Welcome
About
Our Story
Our Team
Companies
Contact
ADDITIONAL RESOURCES
Michigan Auto Reform Information
HKS Skills Skate Info
HKS in the Community
Customer Care
Request Auto Certificate
Request A Policy Review
Request A Change
Refer A Friend
Request Auto Quote
Request Homeowners Quote
Request Business Quote
Services
Get A Quote
How can we help?
Customer Care
Request Auto Certificate
Request A Policy Review
Request A Change
Refer A Friend
Request Auto Quote
Request Homeowners Quote
Request Business Quote
Request Homeowners Quote
Personal Information
Name
*
First Name
Last Name
Email Address
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
*
MM
DD
YYYY
Social Security Number
Current Information
Do you currently have insurance?
Please Select
Yes
No
Current Premium
Current Insurance Provider
Months with Company
Current Policy End Date
MM
DD
YYYY
Dwelling Information
Year Built
Roof Type
Construction Type
Please Select
Frame
Brick
Masonry
Aluminum Siding
Other
Date of Original Purchase
MM
DD
YYYY
Number of Families Living In Home
Number of Bedrooms
Liability Limit
Please Select
$100,000
$250,000
$500,000
Deductible Amount
Please Select
$250
$500
$750
$1000
$2500
$5000
Square Footage
*
Estimated Value
*
Dogs
*
No
Yes, Small Dog
Yes, Large Dogs
Yes, Multiple Dogs
Pool
*
Yes
No
Claims/Property Losses in Past 5 Years (Please Explain)
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