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Contractors Questionnaire

  1. Contractors Questionnaire
Contractors QuestionnaireJosh Chambers2025-08-04T22:48:20-04:00

"*" indicates required fields

Application Information

Applicant Name*
Can we text you?

Business Information

MM slash DD slash YYYY
Business Address*
Mailing Address*

License Information

No license required

Classifications

Choose your primary class code. You may add up to 4 additional class codes to describe your business.
Please enter a number from 0 to 100.
Add 2nd class code
Please enter a number from 0 to 100.
Add 3rd class code
Please enter a number from 0 to 100.
Add 4th class code
Please enter a number from 0 to 100.
Add 5th class code
Please enter a number from 0 to 100.
Percent must add up to 100

Business Information

Does Applicant Have Employees?
Please enter a number greater than or equal to 1.
Does Applicant Hire Subcontractors?
Please enter a number from 0 to 100.
Does Applicant perform residential work prior to the certificate of occupancy?
Please enter a number from 0 to 100.
*prior to approval for occupancy.
Please enter a number from 0 to 100.
*prior to approval for occupancy.
Percent must add up to 100
Drop files here or
Max. file size: 20 MB.

    Wrapping Up

    Consent*
    Like most insurance agencies, we use information from you and other sources, such as your driving and claims histories, insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium.
    This field is for validation purposes and should be left unchanged.
    Policy People Insurance Group

    Contact

    4439 Carnes St Ste 2
    Acworth, Georgia 30101
    Phone: 770-800-3633

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    DISCLAIMER: Informational statements regarding insurance coverage are for general description purposes only. These statements do not amend, modify or supplement any insurance policy. Read your policy or consult with your agent for details. Your eligibility for particular products and services is subject to final underwriting and acceptance by the insurance company providing such products or services.

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