Complete this form so we can better understand if you are a candidate for a Mercury Insurance homeowners policy. If you meet all of their criteria, we will add you to a list and someone from Mercury will reach out to you directly within a week or so. We will contact you to let you know either way.
*Please note – completing this form does not mean you will automatically be connected to Mercury. Rebuild Paradise Foundation will screen you to make sure you meet their qualifications.
Please note this is not a guarantee of coverage.
