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Capitol Benefits LLC

Insurance Agency in Gaithersburg, MD

Call Our Office: (301) 431-0000 info@capitolbenefits.com

Insurance Review

Insurance Review

Recent life changes can open up your eligibility for discounts or leave you inadequately covered. We can help you keep your home insurance up-to-date by conducting an insurance review. By completing the questions below, we can help assess your needs. Comments or questions are welcome. *indicates a required field

Select a contact*
Name*
Email*
Address
Phone Number
Preferred method of contact
Please indicate any upcoming changes you expect in the new year*
- My child will be driving
- I will be buying property
- I will be making a major purchase
- I will be getting married
- I will be selling property
- I will be buying a home
- I will be having a child
- I will be starting a business
- I will be retiring
- Other
- None
Have you recently remodeled or made changes to the structure of your home?*
- Yes
- No
Do you own valuable jewelry, furs, antiques, collectibles or sporting equipment over $1,500?*
- Yes
- No
Have you recently installed smoke detectors, fire extinguishers, burglar or fire alarms?*
- Yes
- No
Do you have a home office or run a business out of your home? If so, what type of business?*
- Yes
- No
If you run a business out of your home, what type of business?
Do you have seasonal/rental properties that are not insured through this agency?*
- Yes
- No
Do you have young drivers on your policy who have a "B" grade average in school?*
- Yes
- No
Does anyone in your household drive a car for a ride-sharing service such as Uber or Lyft?*
- Yes
- No
Do you rent out some or all of your property on a short-term basis such as AirBnB?*
- Yes
- No
Which type of insurance would you like to know more about?*
- Auto
- Home
- Umbrella
- Jewerly
- Life
- Disability
- Long-Term Care
- Flood
- Other
- None
Do you know anyone else who could benefit from our services? We will provide a free $10 Amazon gift card for each referral.
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Capitol Benefits Headquarters

364 Main Street
2nd Floor
Gaithersburg, MD 20878

(301) 431-0000

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Capitol Benefits Headquarters

364 Main Street
2nd Floor
Gaithersburg, MD 20878

(301) 431-0000

info@capitolbenefits.com

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