Welcome to WINSLOW INSURANCE AGENCY! 

Do you need insurance for your Business, Home, Life or Medical Insurance in TEXAS, or the Nation, we at The Winslow Insurance Agency specialize in personal &
business insurance throughout the state of Texas and the Nation.  Whether you need any kind of insurance for your business, home, life or health, we can provide you with a competitive quote.  You'll also receive quality customer service with our business insurance including work comp, commercial auto, and group health.

Quote Forms:
Customer Service:

Home Owner Insurance Quote

First & Last Name:  
Street Address:  
City, State & Zip:  
E-Mail Address:  
Telephone:  
Fax:  
Your occupation:  
Date of Birth:  

Current Insurance Information
Insurance Company Name:  
Policy Exp. Date:  
Amount Insured for:  
Mortgage Amt:  
Premium Amt:  
Term:  
Any Claims in Last 3 years?  

General Information About Home:
Year home built in:  
Total Square Feet:  
Yrs @ present address:  
Liability coverage:  
Market Value:  
Distance to nearest fire hydrant:  
Distance to nearest fire department:  
Home Type:  
Home Construction:  
Roof Type:  
Garage Type:  
Age of roof:  
Garage:  
# of Bedrooms:  
# of Fireplaces:  
# of Bathrooms:  
Exterior:  

Additional Information
Swimming Pool?:  Pool Fenced:  
Diving Board:  Trampoline:  
Smoke Detector:  Security System:  
Heating System:  Fire Alarm:  
Replacement cost of personal items:  
Any business conducted in home:  
List values of any jewelry,
furs, or speciality items:
 
List pets &
breeds:
 
Do you want to include Flood Insurance?:  

Additional Comments
Please give any additional comments you may have or enter any information that did not have enough room for: