Online Flood Insurance Quote from Franklin Flood.
		Your request for a policy quote will be processed by Franklin's trained, licensed flood insurance professionals. The quote you receive will be based on the information you supply on the quote request form below. Please be sure to fill out all fields as accurately as possible. You will receive your quote within one business day.  
		Franklin agents are available to help you fill out the quote request form below. If you need assistance please call Franklin Toll Free: 888.567.9600 
		Submitter Information
		01.  Submitter ( party requesting quote )
		
		02. Submitter eMail
		
		AGENCY INFORMATION
		03.  Agency Name:
		
		04.  Agency eMail
		
		05.  Agency Phone
		
		APPLICANT INFORMATION
		06.  Applicant Name:
		
		07.  Applicant eMail
		
		08.  Applicant Phone
		
		PROPERTY TO BE INSURED:
		09. Address
		
		10. City or Town
		
		11. State
		
		12. Zip Code
		
		PROPERTY INFORMATION
		Need Assistance with the quote form, call Franklin Toll Free: 888 567 9600. 
		13.  Has there ever been a flood claim on the property?:
		
		14.  Is there a garage attached to or part of the building?:
		
		15.  If yes, how many car bays.:
		
		16.  Building total square footage:
		
		17.  Is this your primary residence:
		
		18.  Amount of building coverage:
		
		19.  Amount of content coverage:
		
		20.  Date of construction:
		
		21. Is flood insurance being required:
		
		22.  If condo, how many units:
		
		23.  Number of floors in building:
		
		24.  Replacement cost of building:
		
		25.  Is a current policy in place:
		
		26. If yes, expiration date ( mm/dd/yyyy ).
		
		27.  Is building a mobile home
		
		28.  Is Building Elevated:
		
		29.  If so How is it Elevated:
		
		30.  Basement / Enclosure
		
		31.  If crawl -space, Above or below grade.
		
		32.  Foundation Types: View Diagrams
		
		33.  Property Type:
		
		34.  Building Use:
		
		35.  Building Occupancy
		
		36.  Additional Notes:
		
		TERMS & CONDITIONS OF QUOTE:
		
		Routing Code - Please Leave Empty