This form tracks changes in PV home insurance such as home insurance cancellations, home insurance premium changes, and home insurance coverage changes within Portola Valley in the last 3 years. You may also provide the town with information on your existing insurance policy or on your lack of insurance. 

A PV resident may take this survey multiple times during any given year. For example, if you had a home insurance premium increase you would fill out this form. If you decided to change insurance companies later that month, you could fill out the form again. If your policy was not renewed or cancelled later that year, you could fill out the form a third time.  

Have your insurance ready to answer questions on rate increase and date of policy changes. 

Email wildfireprepcommittee@portolavalley.net with questions or technical problems. This tracking form was created by the Portola Valley Wildfire Preparedness Committee.  

Data Privacy Notice 

This form will not capture your email information. The data collected will only be shared with the Town staff, the Town Council, and State officials. You do not need a Google account to fill out this form. If you are logged into Google when you open this form, your account name will be displayed, and you have the option to save your progress during data entry. You do not need to specify an email of choice since we do not capture any emails. If you sign out of your Google account before you start the form, your user id will not be displayed, but you will not be able to save your progress. 

Did you know that you can save up to 10% on home fire insurance by participating in a Firewise community?

Almost half of all PV residents are participating in this community-based program. To learn more, go to the WFPD website/Firewise

Click here to fill out the 5-minute survey