Mountain Home Coverage Review

Mountain and wildfire-exposed homes are reviewed closely by insurers. This form helps us understand the property, ownership, current coverage, photos, wildfire mitigation, and other underwriting factors that may affect available options.

You do not need every document to submit. Complete what you can, upload what you have, and add notes where needed.

If you get stuck or cannot upload documents, you can also email them to steve@donnerpassinsurance.com or call/text (530) 606-2626.

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Applicant Full Legal Name *

First

Last

Ownership Type IndividualMarried / joint ownershipTrustLLCEstateOther

Name do Mailing

Email *

Phone

Property Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Mailing Address, if different from property address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Property Use Primary residenceSecondary / vacation homeLong-term rentalShort-term rentalSeasonal rentalVacantUnder renovationMixed use / not sure

Select the option that best describes how the home is used. Primary homes, second homes, rentals, vacant homes, and short-term rentals can be treated differently by insurance companies.

What do you need help with?New purchaseCurrent policy reviewRenewal coming upNon-renewal notice receivedFAIR Plan quoteDIC / companion policy quoteExisting FAIR Plan + DIC reviewLender / escrow requirementSecond opinionNot sure — need guidance

Choose all that apply. This helps us understand whether you are reviewing current coverage, dealing with a renewal or non-renewal, buying a home, or looking at FAIR Plan / DIC options.

What else should we know?

Please share anything that may be helpful before we connect, such as your renewal date, closing date, non-renewal deadline, current carrier, current premium, claim history, mortgage/lender requirements, property access issues, recent updates, or anything unusual about the home.

Upload Documents, FAIR Plan Photos, or Property Photos

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Upload anything available that may help with the review, including current declaration pages, non-renewal notices, inspection reports, roof reports, mortgagee clauses, trust documents, wildfire mitigation documents, or recent property photos. You do not need every document to submit the form.

Submit