Annual Farm Review Questionnaire Farm Renewal Questionnaire Please complete the form to the best of your ability. Once we receive the form, an agent will reach out to you to complete your renewal review. Step 1 of 6 16% Name First Last Cell Phone*Email Do you have any new Farming Locations?* Yes No Are there any Farm Locations we need to remvoe?* Yes No Do you have any new farm buildings or grain bins we need to add to your policy?* Yes No Do you have any farm buildings or grain bins we need to remove from your policy?* Yes No Do you have any new farm equipment we need to add to your policy?*This could be a tractor, plow, disc, planter, bush hog, hay baler, rake, etc. Yes No Do you have any farm equipment we need to remove from your policy?* Yes No Do you have any livestock?Cows, Horses, Hogs, Sheep, Goats, Chickens, Llama's or any other form of livestock? Yes No Do you need to revise your Livestock Coverage?*This could be the number of livestock, value per head, etc. Yes No Would you like to schedule an appointment for a comprehensive farm policy review?*YesNo
