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Home Insurance Declaration Form Template

Streamline Your Home Insurance Application Process

Gathering the right property information can be challenging when applying for home insurance. This Home Insurance Declaration Form Template is designed for homeowners looking to provide essential details to insurance companies quickly and accurately. With this template, you can simplify your application, reduce the risk of errors, and ensure your information is compliant and easily understood. Whether you need to detail your property's value, list your belongings, or clearly outline your coverage needs, this form helps you do it all effortlessly. Try out the live template now for a smoother process.

Applicant full name
Email address
Phone number
Your relationship to the property
Owner
Tenant
Property manager
Other
Please Specify:
Property address (include city, state/province, and postal code)
Primary occupancy/use
Owner-occupied
Tenant-occupied (long-term)
Vacant
Seasonal/Secondary
Short-term rental
Under renovation
Other
Please Specify:
Year built
Main construction type
Brick/Stone
Wood frame
Concrete/Block
Steel frame
Mixed/Other
Approximate living area (sq ft or m2)
Roof type
Asphalt shingle
Tile/Slate
Metal
Flat/Bitumen
Other/Unknown
Which safety and security features are present?
Current home insurer (if any)
Current policy expiry or renewal date
Years continuously insured for home insurance
0
1
2-4
5-9
10+
If yes, provide brief details (optional)
Have you ever had a home policy canceled, declined, or non-renewed?
Yes
No
Any property insurance claims in the past 5 years?
Yes
No
If yes, list dates, causes, and amounts (optional)
Is the property in a designated flood zone?
Yes
No
Unknown
Any business activity conducted from the home?
Yes
No
Any unrepaired damage or known defects at the property?
Yes
No
Swimming pool, hot tub, or trampoline on site?
Swimming pool
Hot tub or spa
Trampoline
None of the above
Are required safety barriers in place for any pool or spa?
Yes
No
Not applicable
If yes, provide breed(s) and any bite history (optional)
Any dogs kept at the property?
Yes
No
Lender or mortgagee name (if applicable)
List any additional insureds or interested parties (optional)
Is there a mortgage or lien on the property?
Yes
No
Desired coverage effective date
Building (dwelling) coverage amount desired
Personal liability limit preference
$100,000
$300,000
$500,000
$1,000,000
Not sure
Deductible preference
$500
$1,000
$2,500
$5,000
Not sure
I declare that the information provided is accurate and complete to the best of my knowledge
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I acknowledge that this form is a request for insurance and does not bind coverage until confirmed in writing
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Signature of applicant
Date of signature
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Paper art illustration related to home insurance declaration form template for FormCreatorAI article

When to use this form

Use this template when you need to document a home's coverage details for binding, renewal, or lender proof. It works for homeowners, agents, and property managers who must confirm limits, deductibles, endorsements, and who is insured. Common scenarios include closing on a mortgage, switching carriers, adding a new co-borrower, finishing a renovation that changes replacement cost, or updating a mailing address. You get a clean summary you can share with carriers and lenders, and a record you can reuse at renewal. Teams that manage several insurance processes in one portal can keep things consistent by using the Health insurance cancellation form and the Medical coverage inquiry form templates alongside this one.

Must Ask Home Insurance Declaration Questions

  1. What is the property's full address and occupancy status?

    This pins down location-specific risk, fire protection class, and rating. Occupancy (primary, seasonal, rental, or vacant) changes eligibility, price, and required endorsements.

  2. Who are the named insureds and additional interests, with contact details?

    Listing all parties (you, spouse or partner, trust, and any mortgagee) ensures the correct legal names and where to send documents. Accurate emails and mailing addresses reduce back-and-forth and speed proof of coverage to your lender.

  3. What coverages, limits, and deductibles do you want?

    Clear selections for dwelling, other structures, personal property, loss of use, liability, and medical payments avoid guesswork. Stating deductibles and optional endorsements up front prevents disputes at claim time.

  4. What year were key systems updated, and what protective devices are installed?

    Roof age, wiring, plumbing, heating, alarms, and water sensors affect risk and credits. Documented upgrades can qualify you for discounts and faster underwriting.

  5. Have there been any property losses at this address in the past five years?

    Loss history impacts pricing and eligibility, so capture date, cause, amount paid, and repairs. If you also track other claim types in this account, the Worker compensation claim form uses a similar structure.

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