Personal Home Computer, Laptop, Tablet, Smart TV Application

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SCHIFF INSURANCE: ELECTRONIC EQUIPMENT APPLICATION

Get superior coverage for your Smart TVs,  Laptops,  PCs, & Tablets!

- No Deductible
- Broader than your Contents coverage (includes Flood & Power Surge!)
- Losses to scheduled items don't affect your Homeowner, Condo or Tenant renewal rates
- Reasonable rates - $1.21 / $100 of value. (example. a $1,000 Smart TV costs $12/year)
Full Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Phone Number *
Your answer
Email address *
Your answer
Enter Item(s) descriptions here.  (1 item per line)
Year,   Manufacturer,   Model,   Serial Number,   Replacement Cost. *
Example:   2015 Apple iPad 2,  F17MW76VFNJ8,  $600
Your answer
Is there a Loss Payee? *
(If financed, or owned by another party [i.e. a school], please provide their Name & Address)
Your answer
Submitting this information IS NOT a Policy or Binder of Insurance. No coverage will be bound until you receive confirmation from us.
BY CLICKING THE "SUBMIT" BUTTON BELOW, I CERTIFY THAT THERE IS NO PRE-EXISTING CLAIM, LOSS OR CIRCUMSTANCE LIKELY TO LEAD TO SUCH A CLAIM OR LOSS FOR WHICH I AM APPLYING FOR COVERAGE.
WARNING: ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR ANOTHER PERSON FILES AN APPLICATION FOR INSURANCE CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING INFORMATION CONCERNING ANY FACT MATERIAL THERETO, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS THE PERSON TO CRIMINAL AND [NY: SUBSTANTIAL] CIVIL PENALTIES. IN TN, VA AND WA, INSURANCE BENEFITS MAY ALSO BE DENIED.
NOTICE TO OHIO APPLICANTS: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING HE/SHE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD.

Questions? Contact:
Cameron A. Shandersky, CPCU
Schiff Insurance
P.O. Box 145496
Cincinnati, OH 45250-5496
P: 513.870.2580
cameron_shandersky@schiffinsurance.com
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Cameron A. Shandersky, CPCU
Cameron's Bio