Applicant/Client Prefix
Applicant/Client First NameRequired
Applicant/Client Middle Name
Applicant/Client Last NameRequired
Applicant/Client Suffix
Entity Type
Non-Individual Entity Name
Date Of Birth
Applicant/Client Gender
Applicant/Client Marital Status
Applicant/Client Education Level
Applicant/Client Industry
Applicant/Client Occupation
Credit Permission
Assumed Credit Score
Phone Number
Phone Number Alt
Cell Phone Number
Email Address
E-Policy
Mailing Address
Mailing Address - Line 2
Mailing City
Mailing State
Mailing Zip
Mailing County
Mailing Province
International Mailing Address
Mailing Country
CoApplicant Prefix
CoApplicant First Name
CoApplicant Middle Name
CoApplicant Last Name
CoApplicant Suffix
CoApplicant Date Of Birth
CoApplicant Email
CoApplicant Phone Number
CoApplicant Gender
CoApplicant Marital Status
CoApplicant Education
CoApplicant Industry
CoApplicant Occupation
CoApplicant Relationship to Applicant
Notes
Overview Notes
Assigned To
Lead Source
Lead Status
Lead LOB - Home
Lead LOB - Auto
Lead LOB - Flood
Property FormType
Property Address
Property Address - Line2
Property City
Property State
Property Zip
Property County
Within City Limits
New Purchase
Purchase Date
Purchase Price
Usage Type
Months Occupied
Distance to Coast
BCEG
Territory
Protection Class
Flood Zone
Active Flood Policy
In Wind Pool
Year Built
Structure Type
Number of Families
Number of Stories
Floor Unit Located On
Square Feet
Units In Firewall
Total Units In Building
Construction Type
Wall Construction
Frame Construction
Masonry Construction
Foundation Type
Basement Percent Finished
Roof Shape
Portion of Roof Flat
Roof Hip Percent
Roof Material
Pool
Screened Enclosure Covers Pool
Pool Fenced
Pool has Divingboard or Slide
Screened Enclosure Square Feet
Screened Enclosure Coverage Amount
Any Jacuzzi
Any Hot Tub
Under Renovation
Under Construction
Roof Year
Roof Update Type
Plumbing Year
Plumbing Type
Electrical Year
Electrical Type
Heating Year
Primary Heat Source
Water Heater Year
Coverage A Limit
Coverage B Limit - Amount
Coverage B Limit - Percent
Coverage C Limit - Amount
Coverage C Limit - Percent
Coverage D Limit - Amount
Coverage D Limit - Percent
Coverage E Limit
Coverage F Limit
All Other Perils Deductible
Hurricane Deductible
Named Storm Deductible
Wind Hail Deductible
Currently Insured
Any Lapses in Coverage
Current Carrier
Current Annual Premium
Current Policy Number
Effective Date
Current Policy Expiration Date
Mortgage
Bill To
Any Claims
Internal Claims Notes
Prior Liability Limits
Luxury Items Discussion Had
Has Wind Mitigation Form
Roof Covering
Roof Deck Attachment
Roof Wall Connection
Secondary Water Resistance
Opening Protection
A3 Opening Protection Indicator
Terrain
Wind Speed Design
Building Code
Inspection Company
Inspector Name
Inspector License Number
Inspection Date
WPI8 Indicator
Burglar Alarm
Fire Alarm
Distance to Fire Hydrant
Distance to Fire Station
Gated Community
Fire Sprinklers
Business On Premises
Subdivision
Protected Subdivision
Animal Libaility Coverage
E-Policy
Equipment Breakdown Coverage
Flood Endorsement
ASIProgressive Auto Discount
Identity Theft Coverage
Increase Replacement Cost On Dwelling Coverage
Open Water Exposure Coverage
Personal Injury Coverage
Personal Property Replacement Cost
Refridgerated Contents Coverage
Any resident smokers?
Service Line Coverage
Sinkhole Coverage
Water Damage Exclusion Ensdorsement
Wood Burning Stove Indicator
Accredited Builder Indicator
Accredited Builder Name
Ordinance & Law Coverage
Fungi Mold Coverage
Loss Assessment Coverage
Water Backup / Sump Overflow Coverage Indicator
Water Backup / Sump Overflow Coverage AMount
Earth Quak Coverage
IBHS Classification
Building Code Discount
Impact Resistant Roof
Foundation Water Damage Coverage
Roof Loss Settlement
Mediation Arbitration
Kitchen Quality
Kitch Count
Full Bathroom Quality
Full Bathroom Count
Half Bathroom Quality
Half Bathroom Count
Wall Height
Central Heat And Air
Fireplaces
Wood Buring Stoves Count
Carpet (% of Total Floors)
Hardwood (% of Total Floors)
Vinyl (% of Total Floors)
Tile (% of Total Floors)
Marble (% of Total Floors)
Laminate (% of Total Floors)
Terrazzo (% of Total Floors)
Quality Grade
Foundation Shape
Site Access
History of any Bankruptcy, Foreclosure, Repossession, or Short Sale?
Year of most recent Bankruptcy, Foreclosure, Repossession, or Short Sale
History of any Cancelation, Non-Rewnewal, or Declined Coverage?
Any Felony Conviction
Property on More Than 5 Acres?
Property Not Visible to Neighbors?
Property With 100 Feet of Industrial Zone?
Sinkhole Activity?
Property has Existing Damage?
Fire Violations?
Any Ineligible Circuit Breaker Types?
Electrical Circuit Amps
Property Converted from Non-Residentual Building?
Garage Converted to Living Space
Underground Oil Storage Tank?
Any Dogs With Bite History
Any Vicious Dogs
Any Farm Animals
Farm Animal Description
Any Exotic Animals
Exotic Animal Description
Dog Breeds
Any Abandoned Vehicles?
Any Roommates or Boarders?
Any Domestic Employees?
Any Trampolines
Any Skateboard Ramps?
Ever Rented or Sublet?
Unoccupied 8 weeks or more?
Rental Term Lenght
Fire Extinguishers?
Deadbolts?
Built Over Water?
Currently For Sale?
Is Property a Foreclosure, short sale, or previously bank owned?
Days Vacant
Water Heater Not Secured to Building Foundation?
Do any of the porches/patios have a different roof line or roof material from dwelling?
Run RCE
Previous Mailing Address
Previous Mailing Address - Line 2
Previous Mailing City
Previous Mailing State
Previous Mailing Zip
Previous Mailing County
Last use of Previous Mailing Address (Month)
Last use of Previous Mailing Address (Year)
Mobile Home Manufacturer
Mobile Home Make
Mobile Home Model
Mobile Home Length
Mobile Home Width
Mobile Home Park Subdivision
Mobile Home Location Type
Mobile Home Serial Number
ANSI Complaint
Tie Down Compliant
Flood Zone
Flood Community Number
Flood Community Description
Flood Zone Map Panel
Flood Zone Map Panel Suffix
Flood Deductible
Flood Policy Type
Waiting Period
Prior Flood Loss
Flood Grandfathering
Has Flood Elevation Cert
Flood Elevation Cert Date
Flood Photograph Date
Flood Diagram
Flood Building Coverage Limit
Flood Contents Coverage Limit
Flood Elevation Difference
Non-Participating Flood Community
CBRA Zone
Current Carrier
Current Carrier Type
Current Flood Expiration Date
Current Flood Policy Id
Bodily Injury Coverage
Current Auto Policy Annual Premium
Current Auto Policy Carrier
Current Auto Policy Expiration Date
Currently Insured
Current Policy Term Lenght
Effective Date
Residence Type
Prior Liability Limits
Property Damage Coverage
Uninsured Motorist Coverage
Uninsured Motorists Property Damage Coverage
Years At Current Residence
Years Continuously Insured
Years With Current Carrier
Medical Payments
PIP Deductible
PIP Coverge
Wage Loss Coverage
AAA Member
Notes
Stacked Coverage
EFT Payments
PIP Medical Deductible
PIP Medical Coverage
Combat Theft
Spousal Liability
OBEL
PIP Additional Coverage
Autopolicy Primary Garage State
Auto Policy Current Policy Id
Claim Description
Date of Claim
Claim Amount
Reporting Source of Claim
Act Of God
Catastrophic Loss
From Prior Residence
Claim was Paid
Prefix
First Name
Middle Name
Last Name
Suffix
Gender
Marital Status
Education Level
Date Of Birth
Industry
Occupation
Years of Occupation
Relationship to Primary Driver (aka the Isnured)
Rated Driver
License Status
Date First Licensed
Age First Licensed
License Number
License State
License Suspended or Revoked in Last 5 Years
Driver Training Date
SR22 / FR44 Requirements
Driver Violation Points
Good Student Driver
Driver Training Completed
Driver is student living more than 100 Miles from home
Social Security Number
Vehicle Year
Vehicle Make (aka Manufacturer)
Vehicle Model
VIN (Vehicle Identification Number)
Anti Theft Device
Passive Restraints
Anti-Lock Brakes
Ownership Status
Annual Mileage
Length Of Ownership
Primary Driver
Usage Type
Miles Driven One Way
Days Driven Per Week
WeeksDriven Per Month
Existing Vehicle Damage
Comprehensive Deductible
Collision Deductible
Uninsured Motorist Property Damage Limit
Uninsured Motorist Property Damage Deductible
Towing / Road Assistance Coverage
EAP Coverage
Rental Coverage
Cost of Vehicle at New
Odometer Reading
Body Style
Drive Type
Engine Information
Vehicle Fuel Type
Garage Location
Use for Ride Share
Telematics Enrollment
OEM Parts Endorsement
Original Vehicle Owner
Garage Type
Capacity
Square Feet
The Zapier Index of the Driver the Violation is associated with
Type of Violation / Incident
Date of Violation
Claim Amount
Comprehensive Claim Details
Comprehensive Bodily Injury Amount
Comprehensive Property Damage Amount