Risk Audit QuestionnairePlease complete the form below so we can learn how to best help you. Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Do You Own Real Estate? * Yes No If Yes, What kind of real estate and how many doors? (Ex personal residence, rental single family residence or multi-family; short term or long term rental; commercial property and what kind of business(es) on the commercial property?) Do You Have A Will? * Yes No Do You Have a Living Trust * Yes No What Is Your Estimated Net Worth? * Do You Have A Business? If Yes, What Kind Of Business And How Many Employees Do You Have? Please Describe Your Current Structure (if applicable) Are You Facing A Potential Lawsuit Or Judgement? Yes No How Many Miles Do You Drive a Day? * Do You Have Teenage Drivers? * Yes No Thank you! Your submission has been sent to our team and we will get back to you as soon as we can.
