Underwriting Questionnaire

This form is for one community property. If you have multiple, please complete a separate form for each one.

"*" indicates required fields

Step 1 of 7

Your organization is a*

Public Housing Authority

Affordable Housing Providers

Housing Authority or Insured Entity*

Housing Authority or Insured Entity Address*

Street Address Address Line 2 City State ZIP Code

Contact name*

First Last

Phone*

Website

Building / Structure Information

Number of Buildings on Property*

BUILDING ONE

Building Address*

Street Address Address Line 2 City State ZIP Code

Building #

Year built*

# of Stories*

# of Dwelling Units*

# of Non-dwelling Units

Building Sq Ft.*

Structure Value*

Contents Value

Rental Income Value

BUILDING TWO

Building Address*

Street Address Address Line 2 City State ZIP Code

Building #

Year built*

# of Stories*

# of Dwelling Units*

# of Non-dwelling Units

Building Sq Ft.*

Structure Value*

Contents Value

Rental Income Value

BUILDING THREE

Building Address*

Street Address Address Line 2 City State ZIP Code

Building #

Year built*

# of Stories*

# of Dwelling Units*

# of Non-dwelling Units

Building Sq Ft.*

Structure Value*

Contents Value

Rental Income Value

BUILDING FOUR

Building Address*

Street Address Address Line 2 City State ZIP Code

Building #

Year built*

# of Stories*

# of Dwelling Units*

# of Non-dwelling Units

Building Sq Ft.*

Structure Value*

Contents Value

Rental Income Value

The underwriting review can take up to 5 business days to complete. When inspections are required, the review process could take up to 21 business days to complete.

The following items are required to begin the underwriter review:

Loss runs
Property management agreement (which must include tenant discrimination coverage) and current property management certificates
Blank copy of Tenant Lease/Agreement
Lender requirements
Inspection Reports or Property Conditions Assessment Report (completed within the past 60 days)
Detailed information on past or future renovations (attach punch list and value of upgrades)
Photographs of the property (interior & exterior)
A list of additional insureds / loss payees to include full name, address, loan number(s), and what the entity is to be named

Additional items required for construction projects:

Owner & General Contractor insurance requirements
General Contractor’s insurance certificates
Certificate of Occupancy (Upon Completion)

Underwriting Questionnaire

Underwriting Questionnaire

Location Information

Entity Information

Insurance Information

Building / Structure Information

Organizational Information

The following items are required to begin the underwriter review:

Additional items required for construction projects:

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