|Preferred Method of Contact:
If you currently have insurance, please provide current insured limit
|Do you smoke:
|Do you have a monitored burglar alarm?:
|Do you have a monitored fire alarm?:
|Do you have sprinklers?:
|Do you have a mortgage or secured line of credit on the property:
|Was your prior policy canceled for non payment:
|Have you ever been cancelled, declined, or refused personal insurance:
|Kilometers to the nearest Fire Hall:
|Is Fire Hall:
|Distance to the closest fire hydrant:
|Solid Fuel Burning Stoves or Fireplace Inserts in the home:
Do not count fireplaces except inserts
|Solid Fuel Burning Units are for:
|Oil tanks above or underground:
|Live in employees:
Nannies, caretakers etc.
|Short-term rentals of property to others:
Exclude basement & attached garage
|Building Construction Type:
|Building Construction Quality:
|# of Full Bathrooms:
|# of Half Bathrooms:
|Garage # of Cars:
|Room over Garage:
Please describe, including sq ft area(s)
|Has the home been completely gutted (new plumbing, wiring)?:
|Home listed on any Historic Registry:
|Wiring Main Panel Amperage:
|Wiring Panel Type:
Please advise of oldest installed hot water tank or year of on-demand system installation
|Primary heating system serviced annually:
|Primary Roof Material:
|Reverse slope driveway:
A reverse slope driveway is one that leads downward from a public street to a parking area, such as a below-grade garage.
|Cannabis grown at this location:
|aBusiness activities conducted from the unit/dwelling:
If you do not have another primary business location your business is considered to be operated from your home.
|Scheduled Jewellery Coverage Required:
Most policies include a limit of coverage for jewellery of $6000 or less subject to the policy deductible. Please advise if additional coverage is required.
|Scheduled Bicycles Coverage Required:
Most policies include a limit of coverage for bicycles of $1000 to $2500 per bike (or less) subject to the policy deductible. Please advise if additional coverage is required.
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