Homeowners/Renters/Condo Quote

Please fill out the form below as completely as possible. Once you have completed the form, click Submit to send your information to Marcussen Insurance Service. We will handle your request shortly, and you will receive a call back from us.

Or just call us at (309)764-6850 for a quote.

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Personal Information

First Insured:





Second Insured:



Property Information





Prevention Devices




sq. ft.

Is there Circuit Breakers?





Foundation

Check all that apply.
Is there a deck or porch?

sq. ft.


Is the home vacant, unoccupied, or for sale?
Do you conduct business on the premises?
Do you own an animal that is vicious, or has previously bitten or injured?
Is the dwelling subject to flood?