This form is intended to be for one property only. If you have multiple properties, you can fill this form out as many times as needed.

As always, if you’d rather speak to us first, please call or text 405-519-1697 or email info@verityinsurancegroup.com.

Full Name

First Name

Last Name

Email Address

You will not get spam emails from us, ever.

Phone Number

You will not get spam calls from us, ever.

(###)

###

####

Primary Address

Your mailing address, not the property address you intend to get a quote for.

Date of Birth

YYYY

Name Insured

This should match who's on the title of the home. Typically, you or an LLC.

Property Address

Street Address, City, State, Zip Code

Property Use

Long-Term Rental, Fix-and-Flip, Short-Term Rental, etc.

Property Dwelling Coverage

What coverage amount would you like on the property?