Internal Business Lines Discovery Form

Start Your Multifamily Property Quote:

Are you a current client of RiskWell?*
- No, I'm a new client
- Yes, I'm a current client
What effective date do you want for your new insurance?*
MM slash DD slash YYYY
Your Name*
First Last
Entity name that owns/will own the property*
Preferred Email*
Preferred Phone Number*
Your Mailing Address*
Street Address Address Line 2 City State ZIP Code
Property address to be quoted:*
If you need a quote for more than one property right now, we will gather that information on your Discovery Call.

Street Address Address Line 2 City State ZIP Code
How many residential units on the property?
What is the estimated occupancy (%)?*
Any special classes of tenants?*
Check any box that applies
- Student Housing
- Designated Elderly Housing
- Subsidized Housing / Sec 8
- None of the above
Do you have a lender or mortgagee for this property?*
We will gather the name and address for your lender later, if applicable.
- Yes, I have a lender/mortgagee
- No, I do not have a lender/mortgagee
Full Lienholder/Mortgagee Clause*
If you don't know it, just put "TBD" and we'll get it from you later
Do you need a companion FLOOD INSURANCE proposal for this property?
- No
- Yes
How did you first hear about RiskWell?
- Personal Referral
- Google Search
- McKinney Chamber of Commerce
- Local event
- Facebook Group/Post
- YouTube video
- Word of mouth
Who referred you to us?*
What else do we need to know to deliver you an outstanding experience?
Please upload all relevant documents here:
Drop files here or

Max. file size: 98 MB, Max. files: 5.
Communication Consent*
RiskWell is committed to respecting our current and future clients' privacy and communication preferences. So that we may remain compliant with state and federal regulations, we need your expressed permission to communicate with you using phone, text and email as needed.

You may opt-out of all future communication at any time by making your preferences known to us.

RiskWell operates by the simple rule of "treat other people the way you want to be treated."
I authorize RiskWell to communicate with me using the information provided on this form for the purpose of assisting with my insurance program..

1Contact Info

2Property Info

3Wrap-Up Info

Are you a current client of RiskWell?*
What effective date do you want for your new insurance?*
Please note, we are not able to backdate coverage. Today's date is the first available day for coverage to begin.
Your Name*
First Last
Your Date Of Birth*
Is the property held in your personal name or another legal entity (LLC, etc...)*
Entity Name*
Your Email*
Your Phone Number*
Your Mailing Address*
Street Address Address Line 2 City State ZIP Code

Property address to be quoted:*
If you need a quote for more than one property right now, we will gather that information on your Discovery Call.

Street Address Address Line 2 City State ZIP Code
Property County
Building Type*
How many units does this property contain?*
What is your intended use for this property?*
What is the monthly rent charged for this property?*
What kind of purchase is this?*
What kind of Creative Finance Method are you using?*
Is there a lender or mortgagee for this property?*
Lender/Mortgagee Name*
Lender/Mortgagee Email*
Input whatever your contact email is for the lender/mortgagee
Lender/Mortgagee Mailing Address*
Street Address Address Line 2 City State ZIP Code
Full name and mailing address for underlying seller*
Coverage Amount Needed ($)*
For a "flip" property, use the purchase price + your renovation estimate to determine the property coverage amount.
How will this policy be paid for?*
Note that if you select "title company or escrow account" you will be required to enter lender/mortgagee information.

Do you need a companion FLOOD INSURANCE quote for this property?*
How did you first hear about RiskWell?
- Personal Referral
- Google Search
- McKinney Chamber of Commerce
- Local event
- Facebook Group/Post
- YouTube video
- Word of mouth
Who referred you to us?*
Our team is also well equipped to help with your personal insurance needs (Home & Auto Insurance + whatever else you need.) After we're done with delivering this real estate quote, can we review your personal insurance options?*
Date to contact you about reviewing your personal insurance
Please select the future date you want us to contact you on, so we can perform a full review of your personal insurance options.
What else do we need to know to deliver you an outstanding experience?
Please upload all relevant documents here:
Drop files here or

Max. file size: 98 MB, Max. files: 5.
Communication Consent*
RiskWell is committed to respecting our current and future clients' privacy and communication preferences. So that we may remain compliant with state and federal regulations, we need your expressed permission to communicate with you using phone, text and email as needed.

You may opt-out of all future communication at any time by making your preferences known to us.

RiskWell operates by the simple rule of "treat other people the way you want to be treated."
I authorize RiskWell to communicate with me using the information provided on this form for the purpose of assisting with my insurance program..

Private Client Proposal Request

What do you need help with?*
What kind of property is this?*
Property Address You Need Quoted*
Street Address Address Line 2 City State ZIP Code
Your Name*
First Last
Legal Name Of Business*
Phone*
Email*

What do you need help with?*
What kind of property is this?*
Property address you need quoted*
Street Address Address Line 2 City State ZIP Code
Who is listed as owner of the property?*
Your name*
First Last
Legal name of entity that owns this property*
Legal name of business*
Phone*
Email*

First Name	Last Name	Date Of Birth	D.L. Number

Year	Make	Model	Vehicle ID (VIN)

INTERNAL - Business Discovery Form

Step 1 of 4 - Intro