ote

An asterisk (*) indicates a required field.

Applicant Information

First Name *  

Type the first name of the person applying for the renters insurance.

MI

Type the middle initial of the person applying for the renters insurance.

Last Name *

Type the last name of the person applying for the renters insurance.

Phone *

Type the phone number of the person applying for the renters insurance.

Email *

Type the email address of the person applying for renters insurance.

Show/Hide Additional Insured

Use this toggle option to show and hide entry fields to enter information for up to four additional insured applicants.

Note

This is not available when Non-BBC is selected from the Premium ID drop-down list.

Current Address Details

Street No. *

Type the street number where the applicant currently lives.

Street Name *

Type the full name of the street where the applicant currently lives.

Street Type

Use the drop-down to select the street type to associate with the address entered for the applicant.

Apt Number

(If applicable) Type the apartment number where the applicant currently lives.

City *

 Type the name of the city where the applicant currently lives.

State *

 Use the drop-down to select the abbreviation of the state where the applicant currently lives.

Zip *

 Type the zip code identifying where the applicant currently lives.

Policy Details

Premium ID

Select an ID from the drop-down box.

Premium Charge

Type a dollar amount for the premium charge.

Policy #

This number is assigned after you submit the form for entry at a later time. However, if the Premium ID is Non-BBC, you can type the policy number.

Effective *

Type the effective date of the policy (mm/dd/yyyy). Or, click the Calendar button to select a date.

Submission *

Type the submission date of the policy (mm/dd/yyyy). Or, click the Calendar button to select a date.

Terminated date

If terminating the policy, type the termination date of the policy (mm/dd/yyyy). Or, click the Calendar button to select a date.

Terminated reason

If terminating the policy, enter a brief reason for termination.

Note

You must call the insurance company directly to cancel this policy. Entering a date will remove this resident from the Premium Received Report, but will not automatically terminate the policy.

Non-BBC Entry Fields

Insurer

This field appears only when Non-BBC is selected from the Premium ID drop-down list. Type the name of the insurance company.

Policy Expires

This field appears only when Non-BBC is selected from the Premium ID drop-down list. Type the date the policy expires (mm/dd/yyyy). Or, click the Calendar button to select a date.

Move-Out Date

The display-only Move-Out date from the Lease Dates Tab. This field appears only when Non-BBC is selected from the Premium ID drop-down list.

Coverage

This field appears only when Non-BBC is selected from the Premium ID drop-down list. Type the amount of coverage for the policy.

Personal Liability Limit

This entry field appears only when Non-BBC is selected from the Premium ID drop-down list. Type the amount of the personal liability limit for the policy (for example, 2500).

Silver, Gold, Platinum Display Fields

Description

This field appears only when either Silver, Gold, or Platinum is selected from the Premium ID drop-down list. The display-only description of the policy (Silver, Gold, or Platinum ).

Deductible

The display-only amount of the deductible for the policy (for example, $500). This appears only when either Silver, Gold, or Platinum is selected from the Premium ID drop-down list.

Personal Liability Limit

The display-only amount of the personal liability limit for the policy (for example, $2,500). This display-only appears only when either Silver, Gold, or Platinum is selected from the Premium ID drop-down list.

Liability Only

Indicates whether the policy is liability only (Yes or No). This display-only appears only when either Silver, Gold, or Platinum is selected from the Premium ID drop-down list.

Payment

Next Payment Due (date)

Type the next payment due date of the policy (mm/dd/yyyy). Or click the Calendar button to select a date.

Payment method *

Select a payment method from the drop-down list:

Pay with Rent (not valid in TX or KY)

Monthly Automatic Credit Card Debit

Monthly Automatic Check Debit (ACH)

Quarterly Billing (no credit card, no ACH)

Semi Annual Billing (no credit card, no ACH)

Annual Billing (no credit card, no ACH)

Credit Card Type

If a credit card payment method is selected, select a credit card type.

Name on Credit Card

If a credit card payment method is selected, type the name on the credit card.

Credit Card Number

If a credit card payment method is selected, type a credit card number.

Expires

If a credit card payment method is selected, type an expiration date.

Bank Acct Name

If a Monthly Automatic Check Debit (ACH) payment method is selected, type the name on the bank account.

Bank Name

If a Monthly Automatic Check Debit (ACH) payment method is selected, type the name of the bank.

Bank Routing #

If a Monthly Automatic Check Debit (ACH) payment method is selected, type the bank routing number.

Bank Account #

If a Monthly Automatic Check Debit (ACH) payment method is selected, type the bank account number.

Buttons

Display

Click to open the Renters Insurance lease addendum in PDF format.

Save

Click to save your changes.

After completing the Renters Insurance application form and printing the lease addendum for the renter’s insurance application, you submit the application through eSite.

Note

Before you submit the application, we strongly suggest you have the applicant sign the lease addendum for the renter’s insurance application.

When you click the button to submit the application through eSite, the system forwards the application data electronically to the Post New URL Web site. After the insurance agency approves the application, the following cycle takes place:

1. The insurance agency returns to the leasing agent a confirmation number (this is the policy number for the Renter’s Insurance). You can print this number and provide it to the applicant and/or file it in their resident folder.
2. The insurance agency sends the policy directly to the insured resident.
3. The billing cycle is initiated per the payment method selected in on the application form.

Note

After the initial policy is submitted and issued by the insurance agency, any changes you make in eSite ARE NOT submitted to the insurance agency. To request changes to a policy, contact the insurance agency directly to request that the changes be made to the master policy and the modified policy be reissued to the resident. For information about canceling a policy, refer to Canceling a Renters Insurance Policy.

 

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