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Home > Flood > Flood Quote Form
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Flood Quote Form


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information
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Alternate Phone Number
Current Insurance Provider
Zone Information Data
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NFIP Community Number
Flood Risk Zone
Panel Number
Suffix
Dwelling Information
Year Built
Number of Stories Including Basement
Year of Last Major Construction
Amount Requested on Building Coverage
Amount Requested on Contents
Estimated Cost of Building Replacement
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
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HPB Insurance Group
801 N. Elm Street
High Point, NC 27262
336.881.3500
HPB Insurance Group is a wholly-owned subsidiary of Pinnacle Financial Partners and is affiliated with the Independent Insurance Agents and Brokers of America. As such, we honor the Trusted Choice® pledge of performance by offering outstanding products and service, with clear value and transparent pricing.
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Pinnacle

Insurance:
Not FDIC Insured Not Bank Guaranteed May Lose Value
Not Guaranteed by Any Government Agency Not a Bank Deposit
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