Single Family Dwelling Field Module

Risk / Property Overview

Named Insured / Risk / DBA

Contact / Title / Phone / Email

Property Address / Neighborhood / Area

Stories / Year Built / ISO Construction Class

Living Area Sq. Ft. / Bedrooms

Full Baths / Half Baths

Current Occupancy — Owner / Tenant / Vacant / Seasonal

Gated Community? / Entry or Gate Controls

Garage — Attached / Built-In / Detached / Carport / # Cars

Garage Converted to Living Space? / Details

Outbuildings — Number / Construction / Use

Site Condition / Housekeeping / Distance to Coast

Additional Property Notes

Underwriting Focus — Property & Use

Confirm actual occupancy, use, and all buildings. A garage conversion, detached structure, vacant home, or short-term rental may alter coverage or replacement-cost information. Record what the contact reports versus what was observed.

Occupancy / Rental / Pets

Primary Use — Full-Time / Seasonal / Rental

Lease Type — Monthly / Annual / Short-Term

Rent Per Month / Tenant Housing Type

HUD / Section 8 / Elderly / Student Housing?

Short-Term Rental? / Minimum Nights / Platforms

Approx. Bookings per Month / Guest Controls

Housekeeping — Owner / Contractor / COI Verified

Pets — Allowed? / Species / Breed / Size

Pet Containment — Inside / Yard / Fence / Gate

Beware of Dog Signs / Restrictions

Occupancy, Rental or Pet Notes

Underwriting Focus — Rentals & Pets

Document long-term versus short-term rentals, guest turnover, pet ownership and containment. Do not infer tenant screening, insurance, or signed waivers without confirmation.

Construction / Roof / Building Systems

Roof Covering / Shape / Approx. Age

Roof Condition / Missing Covering / Visible Leaks

Roof Replacement / Permit / Age Source

Electrical Panel Brand / Visible Conditions / Updates

Plumbing Supply Material / Updates / Leaks

HVAC Type / Age / Updates

Water Heater Type / Approx. Age / Visible Concerns

Windows / Doors / Shutters / Impact Protection

Hurricane Straps / Clips — Visible? / Evidence

Cooking Appliances — Gas / Electric

Fireplaces / Fuel Type / Last Chimney Service

Overhanging or Dead Trees / Drainage Concerns

Walking Surfaces / Steps / Railings / Lighting

Building / Systems Notes

Underwriting Focus — Roof, Wind & Electrical

Record roof material, condition, and the source of any age/update claim. Photograph the electrical panel brand label and breakers safely; do not remove dead fronts. Only describe hurricane connections that are visible or otherwise documented.

Pools / Recreation / Liability

Pool / Spa — Present? / Type / Location / Depth

Barrier / Fence Height / Self-Closing & Latching Gate

Doors / Access to Pool / Safety Alarms

Drain Cover — Visible Condition / Markings / Photo

Diving Board / Slide / Spa Safety Controls

Trampoline — Net / Padding / Placement

Play Sets / Treehouse / Fire Pit / Other Recreation

Premises / Pool / Recreation Notes

Underwriting Focus — Pool / Liability

Identify pool barriers, self-closing/self-latching gates, visible drain covers, recreational equipment, and trip hazards. A photograph alone does not confirm VGBA compliance; state visible evidence and limitations. Flag missing or damaged components for qualified review.

Fire / Life Safety / Security

Smoke Detectors — Present / Locations / Count

Smoke Detector Testing or Service — Verified / Unknown

CO Detectors — Presence / Locations / Count

Fire Alarm — Present / Monitoring / Service

Fire Sprinklers — Present / Service Date

Fire Extinguishers — Count / Locations / Tag Date

Security / Monitoring / Exterior Lighting

Reported Loss History / Unusual Conditions

Life Safety / Security Notes

Underwriting Focus — Detection & Protection

Identify smoke and CO detectors by location where accessible and document available test/service information. Do not claim devices are operational or code-compliant based solely on appearance. Photograph fire protection tags and observed concerns.

Photos to Obtain

Required where the exposure is present and accessible: capture clear overview and close-up photographs. Photograph labels, evidence of updates, and every recommendation concern; document unavailable views.

Narrative Insert

Edit the narrative below. Replace blanks with confirmed information; remove statements that do not apply.

The risk owns this ____-story ____ construction single-family dwelling located in a ____ residential area, approximately ____ miles from ____. The dwelling contains approximately ____ sq. ft. of living area, ____ bedrooms and ____ bathrooms. The building and housekeeping are maintained in ____ condition. Roof covering / age is ____. Recent roof, electrical, plumbing, HVAC, or window updates consist of ____.

The dwelling is occupied by ____ and is used as a ____ residence. Rental arrangements are ____ with monthly rent of $____, and HUD / elderly / student or short-term rental exposure is ____. The dwelling has ____ garage / outbuilding facilities. Pets are ____ and are contained ____, with fencing / warning signs described as ____.

Cooking is by ____ appliances. The property has ____ pool / spa / recreation exposures consisting of ____. Pool barriers, access gates, and the visible condition of drain covers are ____, subject to the limitations of a visual inspection. Other recreational features include ____.

Smoke detectors are reported/observed at ____, CO detectors at ____, and fire extinguishers at ____. Security and exterior lighting consist of ____. Walkways, stairs, railings and grounds are maintained in ____ condition. Reported losses / additional concerns consist of ____.

The risk owns this ____-story ____ construction single-family dwelling located in a ____ residential area, approximately ____ miles from ____. The dwelling contains approximately ____ sq. ft. of living area, ____ bedrooms and ____ bathrooms. The building and housekeeping are maintained in ____ condition. Roof covering / age is ____. Recent roof, electrical, plumbing, HVAC, or window updates consist of ____. The dwelling is occupied by ____ and is used as a ____ residence. Rental arrangements are ____ with monthly rent of $____, and HUD / elderly / student or short-term rental exposure is ____. The dwelling has ____ garage / outbuilding facilities. Pets are ____ and are contained ____, with fencing / warning signs described as ____. Cooking is by ____ appliances. The property has ____ pool / spa / recreation exposures consisting of ____. Pool barriers, access gates, and the visible condition of drain covers are ____, subject to the limitations of a visual inspection. Other recreational features include ____. Smoke detectors are reported/observed at ____, CO detectors at ____, and fire extinguishers at ____. Security and exterior lighting consist of ____. Walkways, stairs, railings and grounds are maintained in ____ condition. Reported losses / additional concerns consist of ____.