Renters Insurance Rate Quote Request

Please complete the following information as accurately as possible. Quoted rates will be based on the accuracy and completeness of the information provided. All Rates are subject to change. 

All Information provided is for the exclusive use of  CHEAP Insurance Agency / Bucheli Insurance Agency, Inc.

California License 0F27296

Skip any fields that do not apply. 

Your Name  

Telephone  (With Area Code)        

Fax            (With Area Code)    

Email Address - Required!    

Rental Property Information

Street Address:

City:                 

State:                CA ONLY!!

Zip Code:         

 Design Type    Select House Apartment Duplex Four-Plex Other

Amount of coverage for Personal Property ,000.00

Deductible Select Deductible 250 500 1000

Approximate Size of the residence: ( Square Feet)

Year residence was built: (yyyy)

Any Animals? Please list number and description (example - 2 dogs,  1 cat)

Fire Station   Select Within 5 miles Within 10 miles Over 10 miles I don't know

When would  you like to have this policy start?   

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Choose items below that are part of the Residence

Deadbolt                       Smoke Detectors          

 Fire Extinguisher         Central Alarm System  

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