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? * —Please choose an option—HomeownersVacantRental 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: * —Please choose an option—BrickFrame Square Footage: * Garage? * —Please choose an option—YesNo Style: * —Please choose an option—RanchBungalowCottage1 Story2 StorySplit FoyerTriLevelBy levelOther Basement: * —Please choose an option—YesNo Finished: * —Please choose an option—YesNo Monitored Burglar Alarm: * —Please choose an option—YesNo How many Bathrooms: * How many Kitchens: * How many fireplaces: * How many Bedrooms: * Spice Kitchen: * —Please choose an option—YesNo Cannabis Grown: * —Please choose an option—YesNo Any business from home: * —Please choose an option—YesNo If yes, type of Business: Fire Hydrant (within 300 meters or more): * Fire Hall Kms away: * Mortgage: * —Please choose an option—YesNo Only one Mortgage: Select...YesNo 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: * —Please choose an option—YesNo Gas heat or Electric: * —Please choose an option—GasElectric Is there a Wood Burning Stove: * —Please choose an option—YesNo Is there a space heater: * —Please choose an option—YesNo Alarm System: * —Please choose an option—YesNo If yes, which company: How old is the roof: * Shingles or Metal: * —Please choose an option—ShinglesMetal How old is the AC/Heater: * Any electric updates: * —Please choose an option—YesNo Plumbing updates: * —Please choose an option—YesNo Do you have animals: * —Please choose an option—YesNo Is there a sump pump: * —Please choose an option—YesNo If yes, what kind: Breed of Dog: Is there a pool: * —Please choose an option—YesNo Is it fenced in: * —Please choose an option—YesNo Is it above ground: * —Please choose an option—YesNo Is there a trampoline: * —Please choose an option—YesNo Is the home currently vacant: * —Please choose an option—YesNo Is there a backup power for sump pump: * —Please choose an option—YesNo Any Claims in last 5 years:
