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Tell Us About Yourself

Business Information

Business Representative Contact Information

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Need more info? We cover that, too.

Enter your email address and or call us at: (608) 665-6824 to speak with one of our licensed agents.
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Tell Us About Your Business

Rental Property to be Insured

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Want to cover multiple rental properties? Add another property.

Rental Information for Insured Properties

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“A Small Price to Pay for Peace of Mind”

“The recession may be over, but we’re at a time and a place where nothing is guaranteed. The peace of mind provided by SafetyNet lets me know that I don’t have to worry. It’s a small price to pay for peace of mind.”
— Justin L. / Racine, WI
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Your Customized Quote

Coverage Information

Your Specialized Quote

Monthly cost:
{{vm.rateInfo.monthlyCost | currency:'$':2}}
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Why get covered?

25% of Americans earning $100,000 or more live paycheck-to-paycheck.
Source: CBS MoneyWatch
Have Questions? Need Help? Call us at (608) 665-6824 to speak with a licensed agent.

“Helps Me Sleep Easier”

“SafetyNet brings me peace of mind. I know that I’ll be able to cover the costs of bills and so forth if a sudden change were to occur in my employment. This helps me sleep easier and live a more stress-free life.”
— Jesse G. / Baraboo, WI
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Payment Information

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Payment Method

Your first monthly payment of {{vm.rateInfo.monthlyCost | currency:'$':2}} will be processed 30 days from today.

Credit Card Information

Billing Address

Important!
In order to pay with your bank account, it must be verified.
  • In 2-3 business days we will make two small deposits to your bank account (and one debit for the combined amount).
  • Once you see the credits applied to your bank account, please contact Customer Service by calling (608) 665-6824 and provide these amounts. This will verify your bank account.

Account Information

A 9 digit number
A 3-17 digit number
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Why get covered?

1 in 3 unemployed Americans were jobless for 27 weeks or longer.
Source: U.S. Bureau of Labor Statistics
Have Questions? Need Help? Call us at (608) 665-6824 to speak with a licensed agent.

"A Growing Number of Americans Renters are Cost-Burdened"

"49% of all baby boomers who rent are cost burdened, meaning they spend more than 30% of their incomes on housing costs." Why put your income at risk if your tenant's income disappears?
— Abodo, Renter Cost Burdens by Generation, August 17, 2017
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Information Review

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Application for Insurance
{{vm.product.coverage|currency:"$":0}} Rent Protection
in case of covered job loss and/or disability
You pay {{vm.rateInfo.monthlyCost | currency:'$':2}}/month
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Confirm your business information

{{vm.app.businessName}}
{{vm.app.address}} #{{vm.app.address2}}
{{vm.app.city}}, {{vm.app.state}} {{vm.app.zip}}
{{vm.app.firstName}} {{vm.app.lastName}}
{{vm.app.title}}
{{vm.app.email}}
{{vm.app.phone}}
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Confirm your payment information

{{vm.paymentInfo.label}} ending in {{vm.paymentInfo.last4}}
{{vm.payment.token.card.address_line1}} #{{vm.payment.token.card.address_line2}}
{{vm.payment.token.card.address_city}}, {{vm.payment.token.card.address_state}} {{vm.payment.token.card.address_zip}}
Your first monthly payment of {{vm.rateInfo.monthlyCost | currency:'$':2}} is scheduled for {{vm.calculatedDates.firstPayment|date:mediumDate}}
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Confirm your rental property information

{{p.address}} #{{p.address2}}
{{p.city}}, {{p.state}} {{p.zip}}
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Confirm your coverage information

{{vm.app.totalUnits}}
{{vm.app.unitsVacant}}
{{vm.app.avgRent|currency:'$':2}}
{{vm.app.unitsWithoutWorkingAdults}}
{{vm.app.benefitLength}}
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Confirm the statements and understanding:

  • I understand that the policy is being issued based on the Coverage Information I provided in the Application.  If that information is not true and complete, I understand that the Landlord will not have coverage and no Policy benefits will be paid to the Landlord.
  • I understand that the complete terms of coverage, including additional conditions and restrictions, are set forth in the Policy that is issued to the Landlord.
  • I further understand that any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance may be guilty of a crime and subject to fines and confinement in prison, and denial of insurance benefits.

By clicking "I agree" below, I certify that I have read and understand the above statements and that the Coverage Information I have provided is true and complete.

When you click "Accept and Submit" below, you are:

  • Sending us your application for SafetyNet™ insurance underwritten by CUMIS Insurance Society, Inc ("the Company").
  • Acknowledging that you have reviewed and agree to all the important information available through the link below, including legal details and requirements of (a) electronic transactions, communications and signatures and (b) preauthorized payments.
Important Information
Please read this information thoroughly. We also encourage you to print this document for later reference. If you have any questions or need any assistance, please call us at 1-608-665-6824.
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Congratulations!
Your Rental Income Is Now Protected Against Renter Job Loss and Disability.
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What to Expect Next

You will immediately receive a welcome email from us with our contact information to keep for your records.
Within 3 to 5 business days you will receive a welcome packet from us containing a hardcopy of your policy documents and renter certificates.
Phone Number: (608) 665-6824
34 Schroeder Ct, Suite 330
Madison, WI 53711
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