Toll Free: 1-800-375-3012
Local: (940) 458-4664

Homeowners Insurance through Hermes Insurance Agency


To obtain a free, no-obligation quote for your home or other property, fill out the form below and click on the 'Submit Form' button and we will contact you. If you prefer to give information over the phone, fill out the name and daytime phone number fields only and we'll give you a call.

If you would rather mail us this information, fill out the form and click on the 'Print This Page' button at the bottom of this page and mail to Hermes Insurance, P.O. Box 339, Sanger, TX 76266. You can also fax the completed form to us at (940) 458-4466.

Have any other questions? Please call us at (940) 458-4664!


Name:

Current Address:

City:

State:

Zip Code:

Daytime Phone:

Email Address:

DOB:

Spouse Name:

Spouse DOB:

Have you ever been a Germania or Safeco member before?:

Current Insurance Company:

Expiration/Closing Date:

Bankruptcy, Foreclosure,
Reposession in Last 5 Years:

Fire plug within 1,000 feet:

Responding Fire Dept: 

 

Rating Data:

Address to Insure:
City:   State:    Zip: 
Acreage:

Sq. Ft. of Home (Living Area):

Year Home Was Built:

Construction of Home:
Number of Stories:
Foundation Type:
Flooring Type 1:  % of Total: 
Flooring Type 2:  % of Total: 
Flooring Type 3:  % of Total: 
Roof Construction:
Roof Age:
Garage Attached:
Number of Bedrooms:
Number of Bathrooms:
Pool:   If Yes, diving board or slide?:

Trampoline:

Dogs:
Breeds:
Livestock? What type?:
Monitored Fire Alarm:   Monitored Burglar Alarm:
 

Estimated Home Value:

 

Optional Coverages Available:

Check All That You Wish To Include In The Quote: Jewelry
Saddles & Tack
Art Objects
Farm Equipment
ATV's
Farm Outbuildings
 

Claims:

Any home claims in the past 5 years?

If so describe... (Date, Claim Type & Amounts Paid.)

 

Comments:

 

Who referred you to us?
We want to thank them:

Enter the letters below:

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Hermes Insurance Agency