A-Kan Insurance

Welcome to A-Kan Insurance!

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A Kan insurance Edmonton
insurance agency Edmonton
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Get Your Home Insurance Quote

    Home Phone:

    Cell Phone:

    Your-Email:

    Property Address:

    Owner

    Name

    Date of Birth

    Primary Owner

    Second Owner

    Third Owner

    Homeowners, Vacant or Rental?
    If rental, how many families live in the house:
    Rental Income:
    For how long are you living at the current address:
    Previous Address:

    What year was the home built:

    When Purchased (Month):

    (Year):

    Brick or Frame:

    Square Footage:

    Garage?

    Style:
    Basement:
    Finished:
    Monitored Burglar Alarm:

    How many Bathrooms:

    How many Kitchens:

    How many fireplaces:

    How many Bedrooms:

    Spice Kitchen:

    Cannabis Grown:

    Any business from home:
    If yes, type of Business:

    Fire Hydrant (within 300 meters or more):

    Fire Hall Kms away:

    Mortgage:

    Only one Mortgage:

    First time bought a house in Canada: Year:

    Month:

    How long have you had home or tenant Insurance Policy in Canada:

    Is there central heat:

    Gas heat or Electric:

    Is there a Wood Burning Stove:

    Is there a space heater:

    Alarm System:

    If yes, which company:

    How old is the roof:

    Shingles or Metal:

    How old is the AC/Heater:

    Any electric updates:

    Plumbing updates:

    Do you have animals:

    Is there a sump pump:

    If yes, what kind:

    Breed of Dog:

    Is there a pool:

    Is it fenced in:

    Is it above ground:

    Is there a trampoline:

    Is the home currently vacant:

    Is there a sump pump:

    Any Claims in last 5 years:

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