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StorageInsurance.com is a unique and innovative insurance agency, selling storage insurance to consumers who are interested in insuring their household goods during a move process. We provide consumers the ability to buy moving insurance online, receive an immediate confirmation, a certificate of insurance, and a receipt via email. Our program allows service providers such as moving and storage companies, mobile storage carriers, real estate agents, mortgage and insurance agents, and relocation companies or portals involved in the relocation process the opportunity to provide their customers with an added value service and earn advertising revenue while doing so.
To become an affiliate, please complete the facility application form below or
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*
=Required Field
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Name of location
*
Do you own/Manage other facilities?
Yes
No
If Yes, please complete a separate application for each location you will require insurance for.
*
Name of facility owner or manager
*
Street Address
*
City
*
County:
*
State
*
Zip/Postal Code:
*
Telephone Number
*
Fax Number
*
Email Address
Web Address
*
Month and Year company established
*
How long has current management operated this location
Please explain if less than 12 months
*
Do you Operate a Mobile Storage business at this facility?
Yes
No
If Yes, please answer the following
*
How many containers/vaults are in your facility at any given month?
*
What are the vaults made of?
Metal
Wood
Other
*
How many trucks do you operate?
*
How many fork lifts do you operate?
*
How many stories?
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Total area (or cubic capacity) of premises available for storage?
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Any basement(s)?
Yes
No
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If "Yes" is the basement(s) protected by automatic sump pump ?
Yes
No
*
Construction of walls?
Indoor:
Outdoor:
*
Construction of Roof
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Year built?
If recently remodeled, when?
*
Is the facility located within 5 miles of a flood zone?
Yes
No
*
Are sprinklers installed?
Yes
No
*
If “Yes”, please describe:
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sprinklers type?
Wet
Dry
*
How often serviced?
Monthly
Quarterly
Annually
Bi Annually
Other
*
Please indicate last service date:
*
Is system equipped with a Sprinkler Alarm?
Yes
No
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Are security cameras installed?
Yes
No
*
List any other private fire protection:
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Are the premises protected by a fence?
Yes
No
*
Is security lighting installed?
Yes
No
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Premises protected by an Alarm System?
Yes
No
*
Alarm Type?
Central
Local
*
Name of Protective Company:
*
Any Biometric protection system?
Yes
No
*
If "Yes" Describe:
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Total number of employees?:
*
If any employee(s) bonded, give details?:
*
Is there a Live-in manager on premises?
Yes
No
*
Name trade associations in which membership is held:
*
How did you hear about us?
Choose One Option
Online Search
Solicitation Call
Insurance Broker
Newspaper/Magazine
Tradeshow
Brochure
Other: Please specify
*
Other:
Please check the box below and type your name in the provided field.
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certify that the above information is true and complete.
