Bejella Agency

Corpus Christi, Texas

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Protect One of Your Most Valuable Assets!

Regardless of who we are, what we may do for a living or what we love to do with our time off - there's one thing everyone treasures...

Our Home

The Bjella Agency invites you to allow us to offer you a quote on insurance to protect the place we all go at the end of the day...our home.

Due to the legalities of the insurance laws, we ask that only residents of the State of Texas request quotes.

Please fill in all possible information, it will save a lot of time later.

Corpus Christi at Night

Home Insurance Inquiry Form






Your Name 












Zip Code







Home Phone



Office Phone



Your Email Address







Do You Currently Have  Homeowners Insurance? 



Who Is Your Current Carrier 



Policy Number (if known)



Current Insurance Value 
of your home
(no commas or $ signs please)



The year your home was built



Construction Type 



Property Coverage Deductible



Personal Liability Limit



Any Claims in last 5 Years? 



Do you run a business 
from your  home?




I rent this type of dwelling



What is the replacement cost of  your personal property? 



What deductible would you  prefer on your renter’s policy? 



What Personal Liability Limits do  you wish on your renter’s policy? 







Any other comments
or information? 






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