Valuable Articles Application

Jewelry, Antiques, Fine Art, Silverware, Collectibles (stamps, coins etc.), Guns, Camera Equipment, and Sporting Equipment

TOTALINSURANCEBROKERAGE, LLC

Your life. Your business. Our solutions

Please complete all the items below
Your Name
Your Mailing Address
Telephone Number
Your E-mail Address
Does your home have a fire or burglar alarm that is connected to a central station? Y or N
Please provide description of items and their values.
Does any one item represent more than 50% of of the total value of items to be insured?
Are any items kept in a bank vault? If so, what value is in the bank vault?
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Total Insurance Brokerage, LLC
is a full-service Property and Casualty Insurance Brokerage
firm licensed in Connecticut, New York, New Jersey, and Florida
5 Hillandale Avenue
Stamford, CT 06902
Phone (203) 325-3613
Fax (203) 325-3204