|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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