Robert A. Laubscher Insurance Agency

Laubscher Insurance: We're Not Crabby!

Po Box 125
432 Sterling Road Rt 196
Mount Pocono, Pa 18344
(570) 839-2600

Home Owner's Insurance

Basic Information

Please tell us about the Owner

Owners's Full Name

Address #1

City

State

Zip/Postal Code

Email

Phone Number

Home Information

Please describe the home you will be insuring

Address of home

City of home

State of home

Zip/Postal Code of home

Total Square Feet of Home

Listing Price of Home

Total Amount of insurance desired on home

Deductible desired

Present Insurance Company

Have you had Homeowner Losses in the Last 5 Years?

If yes to the above question, how many?

Year Home was built

Age of Roof

Age of Furnace

Amps of Electrical System