Application - American Mutual Fire Insurance Company of Kentucky

Thank you for your interest in obtaining a quote for your home or property insurance. American Mutual can only provide coverage for Louisville KY & it's surround KY counties.

We need to gather some information from you in order to generate your quote. Click the button below to proceed.

Is this for a Homeowner or a Rental Property?

Homeowner

Rental Property

Single Family Dwelling, or a 2, 3 or 4 Unit Rental?

Single Family Dwelling

2 Unit Rental

3 Unit Rental

4 Unit Rental

Is it currently or soon to be occupied?

Yes

No

How soon will it be occupied?

Address of the house to be insured:

Address 1

City

State

ZIP

County

Your contact information:

First Name

Last Name

Phone

Email

Desired amount of Insurance on the Main Structure:

Amount ($)

Replacement Cost of Contents Coverage?

Yes

No

Sewer or Water Backup Coverage?

None

$5,000

$10,000

Earthquake Coverage?

Yes

No

Are any Porches Enclosed?

Yes

No

Finished Basement

Percentage of Basement Finished

Hardwood Flooring

Percentage of Hardwood Flooring

Pets, Pool or Trampoline on Premises?

No

Yes

If Yes, Indicate Type

Electrical System

What year was the electrical system updated?

Roof What type of roof does the property have?

3 Tab Shingles

Dimensional Shingles

Metal

What year was the current roof covering installed?

Any Losses in last 7 years?

No

Yes

When? Details? Amount Paid?

Your Property Insurance Quote Request has been sent! You can expect a response to your inquiry by e-mail in the next 2-3 business days.

Thank you again for your interest in American Mutual Fire Insurance.