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SCL Insurance Agency., Inc.

* 1650 Sycamore Avenue, Suite #3, Bohemia, NY 11716 *

* Phone: 631-738-1110 * Fax: 631-738-0312 *


Home Owner's Insurance Quote Request

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  Request Home Insurance Quote
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Please supply either a Daytime or Evening Phone Number & best time to call.
    Day Time Number:
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*  Best Time To Call
*  Marital Status

Request Home Insurance

    Policy Type:
*  County:
*  Dwelling
    # of Units: *  # of
*  Year Built *  Square
*  Construction:
    Type of
Last Replaced
    Plumbing Last Update
*  Electrical
Last Update
*  Central
    Heating Last Update
*  Central Air:
*  # of
*  # of
*  Garage: # of Car
    Size of
Prior Losses Past 3 Years
*  Bankruptcy Ever Filed:

Current Insurance Information

*  Insurance Carrier:

Current Insured Values

Personal Liability Personal Property
Medical Payments Personal Injury
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