Fine Art Quote

Create A Submission

Select your submission of choice.

Upload an Application

It's as simple as uploading an existing application and our underwriters will be in touch as soon as possible.

Online Application

Fill out our form and we will provide you with a PDF submission form and connect you with our underwriters

Peacock Jewelery Application

Please provide the following information to get a formal quote.

Requested Policy Period

Effective

Expiration

Agent Information

Name

Agency Name

Phone

Address

Address Cont.

City

State

Zip

Applicant Information

First Name

Last Name

Mailing Address

Address Cont.

City

State

Zip

Phone Number

Date of Birth

Occupation state nature of business if self employed

Marital Status

Gender
Male Female

NOTE: the location info is the physical location of the jewelery.

Loss History

Note
If there are no losses please type in "No Losses" into the first description.

Date of Loss

Type

Description

Amount

Date of Loss

Type

Description

Amount

Date of Loss

Type

Description

Amount

Requested Coverages:

Scheduled Property

Amount of Insurance(In Vault)

Amount of Insurance(Out of Vault):

Unscheduled Property

Amount of Insurance(In Vault)

Amount of Insurance(Out of Vault):

Choose Your Deductible:

Remarks and Supporting Documentation

if any question in the application were answered yes please provide additional info in the remarks section. Please upload supporting documentation:

Schedule
Appraisal
Alarm Certificate

Your quote request will be sent to our underwriters for review and formal quote.

Remarks

Supporting Documentation UPLOAD ALL SUPPORTING DOCUMENTATION

Please review the Peaoock Insurance website Terms Of Use and Privacy Policy. In addition, to learn more about how MarketScout Corporation protects its customers' nonpublic personal information, including financial information, please read our "Notice to Policyholders: How We Protect Your Privacy" (Privacy Notice).

I agree to the website Terms Of Use and Privacy Policy, and I have read the Privacy Notice.

WELCOME

At Insurance Peacock we focus on providing our agents with the best people and technology to make your life easier.

Coverages Included

Agreed Value

Mysterious Disappearance

Worldwide Coverage

Powered By:

A trusted name in insurance

Create A Submission

Upload an Application

Online Application

Peacock Jewelery Application

Requested Policy Period

Agent Information

Applicant Information

Loss History

Requested Coverages:

Scheduled Property

Unscheduled Property

Choose Your Deductible:

General Information

Has any applicant been convicted of a crime in the last 10 years?

Any coverage declined, cancelled or non-renewed in the last 3 years?

Any foreclosure, repossession or bankruptcy in the past 5 years?

Is any business conducted on the premises?

Is any property used commercially?

Will any property be exhibited?

Is the property retrofitted for earthquake?

Renters and Condos Only

Is the building entrance locked?

Is there a manager on premises?

Is there a security attendant?

General Information:

Remarks and Supporting Documentation

Thank you!!

What happens now?

Thank you!!

What happens now?

WELCOME

Your Summary

Total:

$ 0.00

Coverages Included

Agreed Value

Mysterious Disappearance

Worldwide Coverage

Powered By: