Please review the list of items below and check all those that apply to you or that might apply in the
next 12 months. This checklist will identify additional ways that we may be able to help you save money
or identify insurance needs that are not currently being met. Feel free to add additional comments or questions. When finished, click the “Send My Check-Up to MLI” button to have your personal insurance check-up automatically sent to the professional and caring insurance agents at Mountain Lakes Insurance.

INSURANCE COVERAGE CHECKLIST