Roman Insurance Services
PO Box 5272
Oceanside, California 92052
(760) 271-6651
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Home Details
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Pool
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Trampoline
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Animals
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Livestock - Cow
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Pet Insurance
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Earthquake Insurance
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Windstorm Insurance
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Condition
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My place is in need of a few repairs and upgrades.
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My house has been maintained and is in good condition.
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This property is attractive with upgrades and within a desired neighborhood.
Discounts
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Currently Insured
No
Yes
Currently Insured
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Yes
Prior Carrier
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All Other Non Standard Companies
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21st CENTURY INS CO OF THE SOUTHWEST
21ST CENTURY INS NATIONAL INS CO. INC
21st CENTURY INSURANCE COMPANY
AAA TEXAS COUNTY MUTUAL INSURANCE CO
ACA INSURANCE COMPANY
ACUITY
AETNA
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AGRICULTURAL WORKERS MUTUAL AUTO INS CO
AIGM
AIU INS CO
ALFA
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ALPHA PROPERTY & CASUALTY INSURANCE CO
AMCO INS CO
AMERICA FIRST INSURANCE CO
AMERICAN AMBASSADOR
AMERICAN BANKERS INS CO OF FL
AMERICAN COMMERCE INSURANCE CO
AMERICAN ECONOMY INS CO
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AMERICAN FAMILY INS CO
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AMERICAN HOME ASSURANCE COMPANY
AMERICAN INDEPENDENT
AMERICAN INS CO
AMERICAN INTERNATIONAL INS CO
AMERICAN INTERNATIONAL SOUTH INS CO
AMERICAN MANUFACTURERS MUTUAL INS CO
AMERICAN MERCURY INS CO
AMERICAN MODERN HOME INS CO
AMERICAN NATIONAL COUNTY MUTUAL INS CO
AMERICAN NATIONAL GENERAL INS CO
AMERICAN NATIONAL PROP AND CAS CO
AMERICAN PREMIER INS CO
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AMERICAN SERVICE PATRIOT
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AMERICAN STANDARD INS CO OF OH
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AMERICAN WESTERN HOME INS CO
AMEX ASSURANCE COMPANY
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ATLANTA CASUALTY CO
ATLANTA SPECIALTY INS CO
AUDUBON
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CORNERSTONE NATIONAL INS CO
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FARM BUREAU MUTUAL INS CO
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FARMERS TEXAS COUNTY MUTUAL INS CO
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FEDERATED MUTUAL INS CO
FIDELITY AND CASUALTY OF NY
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FIREMANS FUND INS CO
FIREMANS FUND INS CO OF NE
FIRST GENERAL INS CO
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GUIDEONE ELITE INS CO
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HAMILTON MUTUAL INS CO
HANOVER AMERICAN INS CO
HANOVER INSURANCE COMPANY
HARTFORD CASUALTY INS CO
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HASTINGS MUTUAL INS CO
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INFINITY INS CO
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NATIONAL GENERAL ONLINE, INC
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NATIONAL SECURITY FIRE
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OKLAHOMA FARM BUREAU MUTUAL INS CO
OKLAHOMA FARMERS UNION MUTUAL INS CO
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OMNI INDEMNITY CO
OMNI INS CO
ORION AUTO
OTHER
OWNERS INS CO
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PAFCO
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PEKIN
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PGA
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PROGRESSIVE INSURANCE
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RAMSEY INS CO
REGAL INS CO
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RELIANCE NATIONAL INDEMNITY CO
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RELIANT
RESPONSE WORLDWIDE DIRECT AUTO INS
ROCKFORD MUTUAL INS
ROCKINGHAM CASUALTY COMPANY
ROCKY MOUNTAIN FIRE AND CASUALTY CO
SAFE AUTO INS CO
SAFECO INS CO OF AMERICA
SAFECO INS CO OF IL
SAFECO LLOYDS INS CO
SAFECO NATIONAL INS CO
SAFEWAY INS CO
SAGAMORE INS CO
SECURITY NATIONAL INS CO (UNITRIN GRP)
SENTINEL INS CO LTD
SENTRY INSURANCE MUTUAL COMPANY
SHELBY
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SKANDIA U S INS CO
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SOUTHERN FB CASUALTY INS CO
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SOUTHERN GUARANTY
SOUTHERN HERITAGE
SOUTHERN INS CO
SOUTHERN INS CO OF VA
SOUTHERN PILOT
SOUTHERN TRUST
SOUTHERN UNITED FIRE
ST. PAUL GUARDIAN INS CO
STANDARD FIRE INS CO
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STATE AND COUNTY MUTUAL FIRE INS CO
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STATE FARM COUNTY MUTUAL INS CO OF TX
STATE FARM FIRE AND CASUALTY CO
STATE FARM MUTUAL AUTOMOBILE INS CO
STATE MUTUAL INS CO
SUPERIOR
TEACHERS INS CO
TICO INS CO
TIG INS CO
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TOPA INS CO
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TRAVELERS CASUALTY COMPANY OF CT
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TRAVELERS INDEMNITY CO OF AMERICA
TRAVELERS INDEMNITY CO OF IL
TRAVELERS INS CO
TRAVELERS PERSONAL INS CO
TRAVELERS PROP CAS CO OF AMERICA
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TRINITY UNIVERSAL INS CO
TRINITY UNIVERSAL INS CO OF KS
TRUMBULL INS CO
TRUSTGARD INS CO
TWIN CITY FIRE INS CO
UFB CASUALTY INS CO
UNION INS CO
UNION INS CO OF PROVIDENCE
UNITED AUTOMOBILE INS CO
UNITED FARM FAMILY MUTUAL INS CO
UNITED FIRE AND CASUALTY CO
UNITED OHIO INS CO
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UNITED SERVICES AUTOMOBILE ASSOCIATION
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UNITRIN AUTO AND HOME INS CO
UNITRIN COUNTY MUTUAL INS CO
UNITRIN DIRECT INS
UNITRIN/CHARTER
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UNIVERSAL CASUALTY
US AUTO
USAA CASUALTY INS CO
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VIGILANT INS CO
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VISION
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WESTERN UNITED INS CO
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WESTFIELD NATIONAL INS CO
WINDSOR AUTO
WINDSOR INS CO
WOLVERINE MUTUAL INS CO
WORKMENS AUTO INS CO
YOUNG AMERICA INS CO
Current Monthly Payment
How much do you pay for property insurance each month?
Gated Community
Do you live in a gated community? If so, what type?
Not gated
Single Entry Gated
24-Hour Security Patrol
24-Hour Manned Gates
Pass-Key Gates
Burglar Alarm
Is your property actively monitored with a burglar alarm?
None
Monitored
Unmonitored
Fire Alarm
Is your property actively monitored with a fire alarm?
None
Monitored
Unmonitored
Contents
Computers
Do you have computers, laptops and tablets?
No
Yes
Electronics
Do you have stereos, TVs, game consoles and other electronics?
No
Yes
Jewelry
Do you have a lot of jewelry?
No
Yes
Applicant
Date of Birth
Gender
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Male
Female
Non-Binary
Marital
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Married
Single
Divorced
Widowed
Separated
Education
What is the highest level of education received?
Select One
Bachelors Degree
Masters Degree
Ph. D/Doctorate
Medical Degree
Law Degree
No High School Diploma
High School Diploma
Associates Degree
Some College - No Degree
Vocational/Technical Degree
Industry
Select One
Homemaker(full-time)
Retired(full-time)
Unemployed
Student(full-time)
Agriculture/Forestry/Fishing
Art/Design/Media
Banking/Finance/Real Estate
Business/Sales/Office
Construction/Energy/Mining
Education/Library
Engineer/Architect/Science/Math
Food Service/Hotel Services
Government/Military
Information Technology
Insurance
Legal/Law Enforcement/Security
Medical/Social Services/Religion
Personal Care/Service
Production/Manufacturing
Repair/Maintenance/Grounds
Sports/Recreation
Travel/Transportation/Storage
Occupation
What is their role?
Select One
Owner Operator
Do you own or operate this business?
No
Yes
Business Insurance
Would you like insurance for your business?
No
Yes
Co-Applicant
Is there a co-applicant?
No
Yes
Co-Applicant
Name
What is this person's name?
Lang.LastName
Relation
Relation to
Select Relation
Insured
Spouse
Child
Other Related
Other Non-Related
Parent
Date of Birth
Gender
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Male
Female
Non-Binary
Marital
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Married
Single
Divorced
Widowed
Separated
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Gable
Hip
Gambrel
Mansard
Complex / Custom
Flat
Shed
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