Home Insurance Quote

Name:

Address:

City:

Province:

Postal Code:

Phone number:

Email:

What is your occupation:

What is your Date of Birth:

Today

mm/dd/yyyy

Name, Occupation, & Date of Birth for Additional Applicants:

Do you own your home, own a condo unit, or rent:

How many years have you continuously had a property policy in force:

If this is your first habitational policy, please indicate "no prior"

Expiry Date of your current/most recent habitational insurance:

Today

mm/dd/yyyy

How many years since your most recent claim:

If you have NOT ever had a habitational insurance claim, please indicate "N/A". We will require additional information about all claims within the last 6 years.

Do you have a professional 24-hour monitored alarm?:

Fire & BurglaryFire OnlyBurglary OnlyNo

Alarm certificate from monitoring company may be required

Is the building sprinklered for fire protection:

YesNo

How many mortgages/loans will be registered on this property:

Have you ever been cancelled or declined habitational insurance:

YesNo

Are there any oil tanks located on the property:

YesNo

Will there be ANY commercial, business, farm, short-term rental, or other income producing activities on the premises:

YesNo

Will anyone unrelated to the primary occupant live here (roomer/boarder):

YesNo

Would you like to apply for an additional discount by consenting to a soft credit check:

YesNo

Are there any deficiencies to the condition of the property:

YesNo

eg. missing railings, missing siding, leaking/deteriorating roof or moss/debris on roof, etc

What is your Primary Heat:

What type of fuel does your primary heat source use:

Is the primary heat source thermostatically controlled:

YesNo

What is your Secondary Heat:

Are all heating appliances certified:

Yes (No Uncertified Heat)No

What is the occupancy of the home:

Will the home be vacant for any period of time (nobody living in the home):

YesNo

What year was the home built:

What style of building is it:

What type of construction is the building:

Where in the building is your unit located:

What is the fire protection in your neighborhood:

Policy deductible preferred:

Liability amount requested:

Do you have any items of particular value that you wish to specifically insure:

Some people have items such as jewellery, fine arts, sports equipment, or other items of particular value that they require additional insurance or increased limits for. Please notify us if you have any items that are of particular interest or value to you. If so, please state each item and its value here.

Is the house built from standard plans, or is it architecturally designed (unique construction features):

Standard Plans
Architecturally Designed/Unique Construction

What is the entire total living area (square footage) of the home:

include both finished and unfinished square footage amounts, but do not include square footage of crawlspaces, basements, unfinished attics, or attached garages

How many stories:

Please indicate if there is any unfinished living area, and its size:

eg. 100 sqft of main floor is unfinished mechanical/storage room

What type of foundation :

If there is any basement, please indicate its total size AND how much is finished:

eg. 1,000 sqft basement, 90% unfinished/100 sqft finished

What is the type of roof:

What year was the roof replaced:

What is the type of electrical:

Copper Wiring
Aluminum Wiring
Knob & Tube Wiring
Circuit Breakers
Fuses (plug/screw in)
100 Amp Service or greater (eg. 100, 125, 200 amp)
Less than 100 Amp service (eg. 60 amp)

Indicate ALL applicable answers from the above

When was the electrical last updated (partial/full):

What is the type of plumbing:

Copper
PEX (other than Kitec)
PVC
ABS
Poly-B (Polybutylene)
Iron/Steel/Lead
ANY plumbing manufactured by Vanguard, Uponor/Zurn (1996-2010), or Kitek (1994-2008)
Other

Indicate ALL applicable answers from the above

When was the plumbing last updated (partial/full):

What type of Hot Water Tank:

Standard Storage Tank
Tankless (On Demand)
Other

What is the age of the Hot Water Tank:

How many bathrooms, and how many fixtures in each:

eg. two full (3 piece) bathrooms and one half (2 piece) bathroom

What type of floor coverings:

Please indicate all types and their amount (eg. 10% tile, 20% carpet, 25% linoleum, 55% laminate)

What is the exterior cladding material:

Is the exterior front door a single or double door, with or without sidelight panels:

Please indicate type and square footage of any porches (open or enclosed), sundecks (open or covered), or patios (open or covered):

Please indicate any garages or carports, the size (1, 2, or 3 car) and whether it is attached or detached:

Please indicate any pools or hot tubs, in-ground or freestanding, and their size:

Please indicate any skylights (opening or fixed), sunrooms, or solariums, and their size:

Please indicate any built-ins:

eg. dishwasher, central vacuum, wall oven, counter-top range, jetted tub, garburator, etc.

Are there any custom construction features not present in standard-quality constructed home (please include a value for each):

eg. wainscoting, custom moulding/trims, solid-surface countertops, custom/high end cabinetry, high quality flooring or finishing materials

Are there any Building Bylaws issues that would affect your ability to repair/rebuild the home?:

YesNo

eg. designated heritage home, legal non-conforming designation due to proximity to property line, etc.

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