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7208 W. Sand Lake Road, Ste. 206, Orlando, FL 32819
407-855-1000

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Life Insurance For Florida
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Insurance
Life Insurance For Florida
About Us
Resources
Careers
- Life at HLI
Contact Us
English
- English
- Português
Client Portal

Quote Referrals for Dionna

Dionna Hurt

Commercial Account Executive

X7006

Step 1 of 10

10%

Insurance Type(Required)

Home

Auto

Business

Life

Renters

First Name(Required)

Last Name(Required)

Email(Required)

Phone(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

NOTE: We are only able to write policies in the state of Florida.

Date of Birth

Month

Day

Year

Were you referred by anyone? Please enter their name below.

Let's Get Started With Home Insurance

The easiest and fastest way for us to provide as accurate a quote as possible for you is to click on the link below and follow the short instructions. This will allow your current insurance carrier(s) to provide us with your most recent policy information in a safe and secure manner. https://app.usecanopy.com/c/harry-levine-insurance-web

Insured Location(Required)

State(Required)

Zipcode(Required)

Same as Above Address

Same as above

Are you living in the property or renting it out?

Living In

Tenant Occupied

Do you have a Monitored Alarm System?

Yes

Type of Alarm System

Burglar

Fire

Both

Current Effective Date

What is your current deductible?

What is your current liability coverage?

Is this a new purchase?

Yes

Do you currently have insurance?

Yes

Closing Date

How long have you been without insurance?

Please describe your situation

What is your estimated home value?

Do you have any dogs?

Yes

Would you like information about Flood Insurance?

Yes

Have you had any insurance claims on the property in the past 3 years?

Yes

Please Explain

Have you had a wind mitigation?

Yes

Don't Know

Not Sure? Read Our Wind Mitigation Article.

Wind Mitigation

Max. file size: 16 MB.

Have you had a 4 Point Inspection?

Yes

Don't Know

Not Sure? Read Our 4 Point Inspection Article.

4 Point Inspection

Max. file size: 16 MB.

Current Home Insurance Policy

Accepted file types: pdf, Max. file size: 5 MB.

This is not required, but will help us to compare to your current policy. This can easily be downloaded from your current provider.

What else would you like us to know?

Do you have any high value or collectible items, such as jewelry, fine art, firearms, etc.

Yes

Let's Get Started With Car Insurance

Primary Driver

Are you a homeowner?

Yes

Driver's License Number(Required)

Occupation(Required)

Education Level(Required)

Have you had any tickets in the past 5 years?(Required)

Yes

Please Explain:

Are you married?(Required)

Yes

Are you currently insured?(Required)

Yes

Current Effective Date(Required)

Explain Situation

Current Policy Details

Current Liability Coverage

Uninsured Motorist Coverage

Current Property Damage Coverage

Active Coverage Options

Rental Reimbursement

Towing & Labor

Comprehensive

Collision

Current Deductible

Current Auto Policy

Accepted file types: pdf, Max. file size: 5 MB.

Additional Info

Primary Vehicle Details

Year(Required)

Make(Required)

Model(Required)

VIN #(Required)

Is the vehicle in a garage full time?(Required)

Yes

Is the vehicle at the same address as above?(Required)

Yes

Vehicle Address

Any other additional vehicles the household?(Required)

Yes

Any other additional drivers the household?(Required)

Yes

Do you have a motorcycle?(Required)

Yes

Do you have a boat?(Required)

Yes

Do you have any powersports vehicles?(Required)

Yes

Do you have an RV?(Required)

Yes

Secondary Vehicle Details

Year

Make

Model

VIN #

Is the vehicle in a garage full time?

Yes

Secondary Driver

Are you a homeowner?

Yes

Driver's License Number

Occupation

Education Level

Have you had any tickets in the past 5 years?

Yes

Please Explain:

Are you married?

Yes

Are you currently insured?

Yes

Current Effective Date

Explain Situation

Let's Get Started With Business Insurance

Business Name

Contact Person

Phone Number

Current Business Insurance Policy

Accepted file types: pdf, Max. file size: 5 MB.

Additional Info

Let's Get Started With Life Insurance

Are you a tobacco user?

Yes

Sex Assigned At Birth

Male

Female

Desired Coverage

Current Life Policy

Accepted file types: pdf, Max. file size: 5 MB.

Upload Current Policy

Accepted file types: pdf, Max. file size: 5 MB.

Let's Get Started With Motorcycle Insurance

Make

Model

VIN #

CC Size

Have you had any accidents or tickets in the past 5 years?

Yes

Please Explain

Do you currently have motorcycle insurance?

Yes

Let's Get Started With Boat Insurance

Make

Model

Year

Horsepower

Type of Motor

Inboard

Outboard

Both

Boat Type

Water/Jet

Sail

How Many Engines?

Max Speed

Market Value

Do you have a boat trailer?

Yes

Cost of Boat Trailer:

Do you currently have insurance on your boat?

Yes

Let's Get Started With Powersport Insurance

Make

Model

Year

VIN #

CC Size

Have you had any accidents or tickets in the past 5 years?

Yes

Please Explain

Do you currently have insurance on your Powersport?

Yes

Let's Get Started With RV Insurance

Make

Model

Year

VIN #

Is your RV in a garage full time?

Yes

Is this RV at the same address as above?

Yes

Vehicle Address

Do you currently have RV Insurance?

Yes

Explain Situation

Current Liability Coverage

Uninsured Motorist Coverage

Current Property Damage Coverage

Current Deductible

Rental Reimbursement

Yes

Towing & Labor

Yes

Coverage Options

Comprehensive

Collision

Both

Current RV Insurance Policy

Accepted file types: pdf, Max. file size: 5 MB.

This is not required, but will help us to compare to your current policy. This can easily be downloaded from your current provider.

Additional Info

Statements on this website as to policies and coverages and other content provide general information only and we provide no warranty as to their accuracy. Clients should consult with their licensed agent as to how these coverages pertain to their individual situation. Any hypertext links to other sites or vendors are provided as a convenience only. We have no control over those sites or vendors and cannot, therefore, endorse nor guarantee the accuracy of any information provided by those sites or the services provided by those vendors.

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Services

Home Insurance
Auto Insurance Florida
Life Insurance For Florida
Commercial Insurance
Commercial Fleet Insurance
Motorcycle Insurance
Pet Insurance
Boat Insurance
RV Insurance
Renter’s Insurance

Home Insurance
Auto Insurance Florida
Life Insurance For Florida
Commercial Insurance
Commercial Fleet Insurance
Motorcycle Insurance
Pet Insurance
Boat Insurance
RV Insurance
Renter’s Insurance

Home Insurance
Auto Insurance Florida
Life Insurance For Florida
Commercial Insurance
Commercial Fleet Insurance
Motorcycle Insurance
Pet Insurance
Boat Insurance
RV Insurance
Renter’s Insurance

Home Insurance
Auto Insurance Florida
Life Insurance For Florida
Commercial Insurance
Commercial Fleet Insurance
Motorcycle Insurance
Pet Insurance
Boat Insurance
RV Insurance
Renter’s Insurance

Our Office

Address: 7208 W. Sand Lake Road
Ste. 206, Orlando, FL 32819
Email: info@hlinsure.com
Phone: 407-855-1000
Open: Monday – Friday: 9 – 5 pm

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Quote Referrals for Dionna

Dionna Hurt

Commercial Account Executive

Let's Get Started With Home Insurance

Let's Get Started With Car Insurance

Primary Driver

Current Policy Details

Primary Vehicle Details

Secondary Vehicle Details

Secondary Driver

Let's Get Started With Business Insurance

Let's Get Started With Life Insurance

Let's Get Started With Motorcycle Insurance

Let's Get Started With Boat Insurance

Let's Get Started With Powersport Insurance

Let's Get Started With RV Insurance

Services

Our Office

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