Total Insurance Services, LLC : all kind of insurances auto, homeowner, motorcycle, renters, general liability, commercial, flood, windstorm, life, health
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Total Insurance Services, LLC   9111 Katy Freeway, Suite #200, Houston, TX 77024  Office: 713-461-4600 Fax: 713-513-5513  E-mail        
Total Insurance Services serving the Houston area
Request a Homeowners’ Insurance Quote
Fill out the following form as completely as possible. Your request will be handled promptly.
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Personal Information
Street Address*
City, State, ZIP Code*
Primary Phone*
Alternate Phone
Date of Birth
SSN (Optional)
Spouse / Second Insured
Date of Birth
SSN (Optional)
Current Insurance Information (Optional)
Current Company
Current Premium $
Expiration Date of Policy
House Information
Year Built
Total Square Feet*
Market Value* $
Liability Coverage
Home Type
Number of Rooms   
Construction of Home
Roof Type
Age of Roof
Years at present Address
Distance to Nearest Fire Hydrant
Distance to Nearest Fire Department
Additional House Information
Swimming Pool?
Security System
Smoke Detector Yes       No
Replacement Cost of Personal Items
Any Business Conducted in Home
List Pets &
Do you want a Flood Insurance Quote? Yes       No
Additional Comments
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The following information must be reviewed with the customer before continuing:
In connection with this application for insurance, we may review your credit report or obtain or use a credit based insurance score based on the information contained in that report. We may use a third party in connection with the development of your insurance score.

Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages.  Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company.  If you have any questions, please feel free to contact us.

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