Skip to content
  • Quote
  • Call
  • Login
Revive Group
  • Finance
    • Wealth Management
    • Financial Calculator
  • Insurance

    Personal Insurance

    We offer insurance for individuals and families, including customized coverage, to fit your lifestyle.
    View All
    Get Insurance QuoteGet Insurance Quote
    Homeowners
    Auto
    Umbrella
    Life Insurance
    High Net Worth
    Boats / Watercraft
    Classic & Exotic Cars
    Motorcycle
    RV/Trailer
    Powersports
    Earthquake
    Flood
    Jewelry
    Landlords
    Condo
    Specialty Dwelling
    Course of Construction
    Renters
    • Homeowners
    • Automobiles
    • Life
    • High Net Worth
    • Landlords
    • Flood
    • Earthquake
    • Motorcycle
    • Boat
    • Powersports
  • Business

    Business Insurance

    We provide small businesses with a variety of different coverage & policy options that fit their needs.
    View All
    Need a policy recommendation?
    Answer 3 questionsAnswer 3 questions
    Builders Risk
    Business Interruption
    Business Owners Policy
    Commercial Auto
    Commercial Trucking
    Commercial Package Policy
    Crime Insurance
    Cyber Liability
    Environmental Liability Insurance
    Hired & Non-Owned Auto
    Directors & Officers
    Employment Practices Liability
    Equipment Breakdown
    Contractor’s Tools and Equipment
    General Liability
    Liquor Liability
    Medical Malpractice
    Real Estate Investments
    Special Events
    Product Liability
    Professional Liability E&O
    Commercial Property
    Surety Bonds
    Commercial Umbrella
    Warehouse Liability
    Workers Compensation
    Garage Keepers Insurance
    • General Liability
    • Business Owners Policy
    • Workers Compensation Insurance
    • Commercial Auto Insurance
    • Commercial Property Insurance
    • Cyber Liability Insurance
    • Professional Liability Insurance
    • Commercial Umbrella Insurance
    • Surety Bonds Insurance
  • About
    • About Us
    • Meet The Team
    • Our Office
    • Testimonials
    • Blog
    • FAQs
    • Join Our Team
  • Contact
Revive Group
  • Login
  • For Clients
    Personal Account Review

    Personal
    Account Review

    Submit your updated information so we can make sure your family stays properly protected.

    Personal ReviewPersonal Review
    Business Account Review

    Business
    Account Review

    Keep your business and employees protected as your business grows.

    Business ReviewBusiness Review
    • Send Insurance
    • Policy Service
    • Report a Claim
    • Certificate of Insurance
    • Insurance Companies
    • Make a Payment
    • Policy Changes
    • Report a Claim
    • Certificate of Insurance
    • Insurance Companies
    • Make a Payment
    • Account Review: Personal
    • Account Review: Business
  • Finance
    • Wealth Management
    • Financial Calculator
  • Insurance

    Personal Insurance

    We offer insurance for individuals and families, including customized coverage, to fit your lifestyle.
    View All
    Get Insurance QuoteGet Insurance Quote
    Homeowners
    Auto
    Umbrella
    Life Insurance
    High Net Worth
    Boats / Watercraft
    Classic & Exotic Cars
    Motorcycle
    RV/Trailer
    Powersports
    Earthquake
    Flood
    Jewelry
    Landlords
    Condo
    Specialty Dwelling
    Course of Construction
    Renters
    • Homeowners
    • Automobiles
    • Life
    • High Net Worth
    • Landlords
    • Flood
    • Earthquake
    • Motorcycle
    • Boat
    • Powersports
  • Business

    Business Insurance

    We provide small businesses with a variety of different coverage & policy options that fit their needs.
    View All
    Need a policy recommendation?
    Answer 3 questionsAnswer 3 questions
    Builders Risk
    Business Interruption
    Business Owners Policy
    Commercial Auto
    Commercial Trucking
    Commercial Package Policy
    Crime Insurance
    Cyber Liability
    Environmental Liability Insurance
    Hired & Non-Owned Auto
    Directors & Officers
    Employment Practices Liability
    Equipment Breakdown
    Contractor’s Tools and Equipment
    General Liability
    Liquor Liability
    Medical Malpractice
    Real Estate Investments
    Special Events
    Product Liability
    Professional Liability E&O
    Commercial Property
    Surety Bonds
    Commercial Umbrella
    Warehouse Liability
    Workers Compensation
    Garage Keepers Insurance
    • General Liability
    • Business Owners Policy
    • Workers Compensation Insurance
    • Commercial Auto Insurance
    • Commercial Property Insurance
    • Cyber Liability Insurance
    • Professional Liability Insurance
    • Commercial Umbrella Insurance
    • Surety Bonds Insurance
  • About
    • About Us
    • Meet The Team
    • Our Office
    • Testimonials
    • Blog
    • FAQs
    • Join Our Team
  • Contact
918-251-9222918-251-9222
Get Insurance
Book Appointment

Habitational Application

Habitational ApplicationGravity Certs2025-03-24T15:15:20-07:00

"*" indicates required fields

MM slash DD slash YYYY
SMS Consent
Is Applicant a Real Estate or Property Management company?*

Property Information

Mailing Address*
Property Address*
Building Number or Name Type of Occupancy Total Number of Units Total Square Feet Actions
       
There are no Buildings.

Maximum number of buildings reached.

Property Overview

Are any properties Assisted Living facilities?*
Are any properties Nursing / Convalescent homes?*
Are any properties Senior housing?*
Are any properties housing authorities?*
Do any properties include subsidized housing (including HUD and Section 8)?*
Is any dwelling location owner occupied?*
Is the building managed by a professional property management company?*

Property Details

Parking areas update type
Sidewalks update type
Is management on site?*
Is maintenance on site?*
Are inspections performed in each unit at least once annually?*
Are tenants screened prior to leasing?*
Are criminal background checks performed prior to leasing?*
Are dogs over 40 lbs. permitted?*
Are BBQ / Grills permitted on site?*
Is any balcony cooking permitted?*
Are handrails at least 42" above walking surface?*
Are tenants required to carry renters insurance with a minimum of $100,000 in general liability coverage?*
Are tenants required to name the owner and property manager as an Additional Insured on their renters insurance policy?*

Maintenance and Protection

Are all units sprinklered?*
Are common areas sprinklered?*
Smoke detectors in each unit?*
Does management advise residents of all criminal activity that has taken place on the properties?*
Is security provided?*
What type(s) of security?*

Underwriting Information

During the past three years, has any company canceled, declined or refused similar insurance to the applicant?*
Any prior losses due to mold?*
Has mold been completely remediated?*
Does risk engage in the generation of power, other than emergency back-up power, for their own use or sale to power companies?*
Does applicant have other business ventures for which coverage is not requested?*
Any new ground up construction operations anticipated within the next twelve (12) months?*
Any construction or remodeling operations for conversion to or from condominiums and/or townhouses?*
Additional Insured(s) Information
Name
Address
Interest
 
Click the (+) icon to the right to add more Additional Insureds.
Prior Carriers Information
Year
Carrier Name
Coverage
Premium ($)
 
Click the (+) icon to the right to add more insurance companies.
Has there been any Losses in the last five (5) years?*
Loss History
Date of Loss (mm/dd/yyyy)
Description
Amount Paid ($)
Status
 
Examples: Loss runs, Additional Insured requirements, Schedule of properties/buildings, etc.
Drop files here or
Max. file size: 12 MB.
    All the above information is accurate and true to the best of my knowledge*
    Consent*
    Like most insurance agencies, we use information from you and other sources, such as your driving and claims histories, insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium.
    This field is for validation purposes and should be left unchanged.
    View Insurance Fraud Statement

    Office Address

    1615 S Eucalyptus Ave
    Broken Arrow, Oklahoma 74012
    Phone: 918-251-9222
    Email: michael@revivegroupok.com

    Get Insurance

    • Businesses
    • Families & Individuals
    • Financial Calculator
    • Send Your Insurance
    • All Quote Options

    Resources

    • Wealth Management
    • Insurance
    • Group Benefits
    • About Us
    • Contact Us

    For Clients

    • Policy Service
    • Report a Claim
    • Certificate of Insurance
    • Make a Payment
    • My Profile
    Revive Group

    Proudly offering insurance and financial services in all of Oklahoma including Oklahoma City, Tulsa, Norman, Broken Arrow, Edmond, Lawton, Midwest City, Stillwater, Enid, Yukon, Muskogee and surrounding areas. View all service areas.

    Accessibility  |  Privacy Policy  |  Cookie Policy  |  Terms of Service  |  Sitemap

    DISCLAIMER: Informational statements regarding insurance coverage are for general description purposes only. These statements do not amend, modify or supplement any insurance policy. Read your policy or consult with your agent for details. Your eligibility for particular products and services is subject to final underwriting and acceptance by the insurance company providing such products or services.

    This website does not make any representations that coverage does or does not exist for any particular claim or loss, or type of claim or loss, under any policy. Be sure to read the policy, including all endorsements, or prospectus, if applicable.

    Copyright © Revive Group  |  Site Powered by GravityCerts
    Page load link
    Start Your Quotes

    Select an Insurance Type

    Financial Calculator

    Financial Calculator

    Calculate
    Business Insurance Quote

    Business Insurance

    Start Quote
    Start Personal Insurance Quote for Individuals and Families

    Personal Insurance

    Start Quote
    Start Personal Insurance Quote for Individuals and Families

    Life Insurance

    Start Quote
    Send Us Your Current Insurance

    Additional Quote Options

    • Commercial Properties

    • Non Profits

    • Religious Organizations

    • Schools / Youth Programs

    • Medicare

    • Quick General Liability

    • Course of Construction

    • Equine / Animals

    Need a Policy Recommendation?

    • Answer 3 Questions

    • Contact Us

    • Schedule Appointment

    • Call: 918-251-9222

    Login

    Lost password

    Don’t have an account?

    Create AccountCreate Account

    Insurance Fraud Statement

    Fraud is a crime

    If your application contains purposefully misleading, absent, or inaccurate information, you could be charged with fraud. Your insurance carrier could potentially void your policy, or you could face civil or criminal charges or penalties.

    Any person who knowingly and with intent to defraud any insurance company or other person, files an application for insurance or statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent act, which is a crime.

    We use cookies to offer you a better browsing experience, analyze site traffic and personalize content. Read about our Cookie Policy. Ok
    Skip to content
    Open toolbar Accessibility Tools

    Accessibility Tools

    • Increase TextIncrease Text
    • Decrease TextDecrease Text
    • GrayscaleGrayscale
    • High ContrastHigh Contrast
    • Negative ContrastNegative Contrast
    • Light BackgroundLight Background
    • Links UnderlineLinks Underline
    • Readable FontReadable Font
    • Reset Reset
    • SitemapSitemap