Whether you're searching for Florida Site Built Homeowners Insurance or Florida Manufactured-Mobile Home Insurance, I invite you take take a few minutes and fill out our form.

I'm Jennifer Mrvica Shaw and we've been helping people in Columbia and surrounding counties with their insurance needs for over 30 years!We represent several A Rated carriers who are eager to compete for your business and I can help customize a package to fill your needs.

Your information is completely safe and it only takes a few minutes to complete. So fill out the form now and Lets Get Started Saving You Money!

First Name *

Last Name *

Date of Birth *

Email Address *

Phone w/area code

Marital Status *

Additional Insured First Name *

Additional Insured Last Name *

Additional Insured DOB *

Relationship *

Where is the property to be insured located?

Property Address *

Property City *

Property State *

Property County *

Zip Code *

Tell us about the property...

Will this be a new purchase? *

Yes

No

Estimated closing date? * +

My property is a *

Model Year of home *

Manufacturer

Year of Last Roof Update *

Roof type *

Width x Length of home (exp. 32x80)

Foundation *

Municipal Location *

Primary Heating System *

How will you use the property? *

Location Type *

The purpose of this insurance is for *

Please list current carrier and expiration date of policy *

Coverages

Mobile Home Coverage Amount Requested $ *

Dwelling Coverage Amount Requested $ *

Other Structures Coverage Amount if any $

Hurricane Deductible

$500

$1000

2%

5%

All other perils deductible

$500

$1000

$2500

Any Special Considerations?

Will you have any dogs on the premises? *

Yes

No

Please list breed and number of dogs: *

Have you reported any claims to an insurance company in the last 5 years? *

Yes

No

Please enter as much info on claim(s) as possible such as Date, Amount, Type of claim: *

For any other info you'd like to add:

I understand that insurance coverage is not bound until I receive confirmation by an authorized representative of American Insurance Services *

Yes