Keep Your Coverage Current

Take a few minutes to confirm or update your information. This form helps us identify potential discounts, prevent gaps, and ensure your policies stay aligned with your needs. It’s quick, easy and hassle-free.

*If you choose not to complete the form, we will assume there are no changes and proceed with your current coverage.

Pay My Bill

Email

inquire@stocktonhillinsurance.com

Call

(740) 642-3333

Visit

10212 State Route 159, PO Box 648, Kingston, OH. 45644

Policy Renewal Review Form

First Name *

Last Name *

Email Address *

Phone

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Which type of coverage are you updating? *Both Home and AutoAuto OnlyHome/Renters Only

Change of address recent or upcoming?:YesNo

Change of marital status recent or upcoming?:YesNo

There Are Many Carrier Specific Coverages Available For Your Auto Policy. Some Examples Are: Rental Reimbursement, GAP, Roadside/Towing, $0 Glass Deductible, Accident Forgiveness, Disappearing Deductible, Customized Equipment, Etc.. If You Have Questions About Any Of These Coverages, Or Would Like Quotes, Please Let Us Know Below::

Is There Anyone Not Listed On The Policy – Drivers, Household Residents 16 Or Older, Others – With Access To A Covered Auto For Regular Use?:YesNo

Are There Any Autos Owned/Registered/Co- Titled To You That Are Not Listed On Your Policy?:YesNo

Are All Vehicles Titled To You Or Your Spouse?:YesNo

Any Vehicles Used For Business Purposes or Ride Sharing (Ex. DoorDash, Uber, Etc.)?:YesNo

Please list all household occupants of the age of 15 and over:

Increased Limits Of Liability May Be Available Upon Request. If You Are Interested, Please Let Us Know.:YesNo

I have reviewed my auto policy, and would like to make changes. Please contact me.:YesNo

Are The Location And Mailing Address On Your Policy Correct?:YesNo

Home Is Deeded To You Or Your Spouse (Not A Trust, Estate, Or Other)?:YesNo

If You Have A Mortgage, What Company Services It? *Please Notify Us Of Any Changes, ASAP, As This Can Impact Your Renewal Payment.:

Is There Any Business Conducted Out Of The Home Or On The Premises?:YesNo

Have You Recently Made Any Additions, Improvements, Or Other Updates To Your Home? Have You Notified Us Of A Recent Roof Replacement, Or Have You Added A Monitored Alarm System?:YesNo

Do You Have Any Liability Hazards On Premises (Included But Not Limited To – Trampoline, Pool (Diving Board Or Slide), Supplemental Heat (Woodstove, Pellet Stove, Etc.), Animals, Farming, Other Business, Etc.)? Please Provide Details Below::

I Have Reviewed My Coverage Limits For My Home, Condo, Or Renters Policy. I Agree The Limits Listed Are Adequate To Replace My Home, Detached Structures, Or Personal Property, In The Event Of A Loss.:YesNo

I Understand My Policy Has Limits On Certain Types Of Personal Property (Ex. Jewelry, Firearms, Cash, Etc). I Am Aware Of These Limitations And Have The Option To Purchase Additional Coverage, If Needed. :YesNo

There Are Many Optional Coverages Available That Are Specific To Each Company. Example: Water And Sewer Back Up, Equipment Breakdown, Identity Theft, Ordinance Of Law, Earthquake, Etc. If You Are Interested, Or Would Like More Details On These Coverages, Please Let Us Know In The Box Below.:

Are you interested in Life Insurance?:YesNo

Are you interested in Umbrella Insurance?:YesNo

Let’s Explore Your Options

Whether you’re requesting a quick personal quote or a detailed commercial review, you’ll connect with a real person who listens, explains clearly, and follows through. Sharing your current policy summaries or insurance documents helps us provide faster, more accurate guidance tailored to your needs.

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inquire@stocktonhillinsurance.com

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Phone: (740) 642-3333

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Fax: (877) 747-9032

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Text: (740) 688-3050

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