Rented Dwelling Insurance Quote Request
Applicant 1 Info
What is your birth date?
This is used to confirm your identify. Some insurers also offer additional discounts based on your age.
What's your occupation?
Some insurers offer additional discounts for certain occupations
Do you need to add an Additional Applicant?
Yes
No
Applicant 2 Info
What's the other Applicant's name?
What's the other Applicant's name?
First
First
Last
Last
What's the other Applicant's birth date?
This is used to confirm the other Applicant's identify. Some insurers also offer additional discounts based on your age.
What's the other Application's occupation?
Some insurers offer additional discounts for certain occupations
What's the other Applicant's relation to you?
Spouse
Parent
Adult Child
Friend
No relation
Other
What's the other Applicant's relation to you?
Long Term Rentals
Do you rent out your home out on a
LONG TERM
basis (30 days or more)
Yes
No
What's your annual income derived from Long Term Rentals?
$
Short Term Rentals
Do you ever rent your home out on a Short Term basis (under 30 days) - eg Airbnb, Vrbo
Yes - the whole home
Yes - part of the home
No
Approximately, how many days a year is the home rented out on a Short Term basis?
What's your annual income derived from Short Term Rentals?
$
Address of Property to be Insured
Address of Property to be Insured
*
Street Address
Address of Property to be Insured
Apt, Suite, Unit, Building (optional)
Address of Property to be Insured
*
City
Address of Property to be Insured
*
Province
Primary Residence Address
Please provide us with the address from which you reside most of the time
Primary Residence Address
*
Street Address
Primary Residence Address
Apt, Suite, Unit, Building (optional)
Primary Residence Address
*
City
Primary Residence Address
*
Province
Mailing Address same as Primary Residence
Is your
MAILING ADDRESS
the same of the your Primary Residence Address?
*
Yes
No
Mailing Address
Mailing Address
*
Street Address
Mailing Address
Apt, Suite, Unit, Building (optional)
Mailing Address
*
City
Mailing Address
*
Province
Current Coverage
When do you need coverage to start?
Do you currently have insurance?
Yes
No
Please upload a copy of your policy here (optional)
Drop a file here or click to upload
Choose File
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Uploading your policy will greatly help us expedite the quoting process for you!
When does it expire?
What's the name of the insurer?
What's the Policy Number?
Since when have you had continuous insurance in place (without interruption)?
Dwelling Information (Detached / Semi-Detached)
What's the main construction material your house was built with?
Wood Frame
Masonry
Concrete
Other
What's the main construction material your house was built with?
What type of building is it?
Detached
Semi-Detached
Other
What type of building is it?
What year was it built?
Year (YYYY)
How long have you owned the property (closing date of the purchase)
When did you move in?
How many self-contained units are in the house?
How many families live in the house?
How many storeys?
What's the square footage (above ground, excluding basements, attics and garages)
SF
Square Feet
Is there a basement?
Yes - completely underground
Yes - partially underground
No
What's the square footage of the basement?
SF
Square Feet
What percentage of the basement is finished?
%
%
How many bedrooms in the house?
How many full bathrooms in the house?
How many half bathrooms in the house?
How many kitchens in the house?
What type of garage do you have?
Attached - Wood Frame
Attached - Masonry
Attached - Concrete
Built-in
Carport
Detached - Wood Frame
Detached - Masonry
Detached - Concrete
None
Other
What type of garage do you have?
How many cars fit in your garage?
Any other detached structures on the property?
Yes
No
Describe other detached structures
Do you have a swimming pool?
Yes
No
When was your swimming pool installed?
What kind of swimming pool is it?
Above Ground with Fence
Above Ground without Fence
In Ground with Fence
In Ground without Fence
Indoor
Indoor In Ground
Indoor Above Ground
Roof
What kind of
ROOF
do you have?
Asphalt Shingles
Clay Tile
Concrete Tile
Corrugated Steel
Elastomer
Metal Tile
Membrane
Slate Tile
Tar & Gravel
Wood Shakes
Wood Shingles
Other
What kind of <B>ROOF</B> do you have?
What's the shape of your
ROOF
?
Pitched
Sloped
Flat
Mixed
What's the impact resistance rating of your
ROOF
?
I don't know
Class 1
Class 2
Class 3
Class 4
Has your
ROOF
been updated (completed re-covered)?
Yes
No
When was your
ROOF
updated?
Year (YYYY)
Heating
What is the main source of
HEATING
for your home?
Central Furnace - Gas
Baseboards - Electric
Hot Water (Hydronic) - Gas
Heat Pump - Electric
Radiant In-floor - Electric
Other
What is the main source of <b>HEATING</B> for your home?
Has your
HEATING
been updated?
Yes
No
When was your
HEATING
updated?
Year (YYYY)
Is there any
SOLID FUEL HEATING
in your home?
Yes
No
What kind of
SOLID FUEL HEATING
do you have?
Do you have a
WOOD BURNING STOVE
?
Yes
No
Plumbing
What are you main water
SUPPLY LINES
made out of?
Copper
PEX
PVC
Galvanized Steel
Cast Iron
Other
What are you main water <b>SUPPLY LINES</B> made out of?
What are you main
DRAIN LINES
made out of?
ABS
PVC
Galvanized Steel
Cast Iron
Other
What are you main <B>DRAIN LINES</B> made out of?
Any
Poly-B
piping?
Yes
No
What kind of
WATER HEATER (HOT WATER TANK)
do you have?
Storage Tank
On Demand
When was your
WATER HEATER (HOT WATER TANK)
last replaced?
Year (YYYY)
Any
MAJOR UPDATES
to your
PLUMBING
system (other than hot water tank)?
Yes
No
What percentage of your home's
PLUMBING
system has been updated?
%
Describe
PLUMBING
updates (other than hot water tank)
When were the other
MAJOR PLUMBING UPDATES
performed?
Year (YYYY)
Electrical
What type of
ELECTRICAL
wiring do you have?
Copper
Alluminum
Knob & Tube
I don't know
How many Amps is the main
ELECTRICAL
service to your home?
60 Amps
100 Amps
200 Amps
I don't know
Other
How many Amps is the main <B>ELECTRICAL</B> service to your home?
What's type of
ELECTRICAL
panel do you have?
Circuit Breakers
Fuses
I don't know
Any major updates to your
ELECTRICAL
system?
Yes
No
What percentage of your home's
ELECTRICAL
system has been updated?
%
Describe
ELECTRICAL
updates
When were your
ELECTRICAL UPDATES
performed?
Any other updates
Any other major updates to the home since it was built (eg. additions, structural renovations, etc.)?
Yes
No
Describe your other major updates to the home
When were the other major updates to your home performed?
Year (YYYY)
Security & Loss Prevention
What kind of
BURLAR ALARM
do you have?
Monitored - I pay an alarm security company to alert me or the authorities when the alarm system is triggered
Local Only - Only I'm alerted
None
What kind of
FIRE ALARM
do you have?
Monitored - I pay an alarm security company to alert me or the authorities when the alarm system is triggered
Local Only - Only I'm alerted
None
What kind of
SPRINKLER SYSTEM
do you have?
Full - covers all of the house
Partial - covers just some parts of the house
None
Water Mitigation
What kind of
WATER LEAK DETECTION
do you have?
Sensors with Notification Only
Sensors with Auto Shut-off
None
Do you have a
SUMP PUMP
?
Yes
No
What kind of
SUMP PUMP
do you have?
Pedestal (Electric)
Submersible (Electric)
Flood Sucker (Electric)
Water Powered
Other
What kind of <b>SUMP PUMP</B> do you have?
Is your
SUMP PUMP
alarmed?
Yes
No
What kind of Auxiliary Power does your
SUMP PUMP
have?
Battery
Generator
None
Do you have a
SUMP PIT
?
Yes
No
What kind of
BACKFLOW VALVE
do you have?
Gate
Flapper
None
Loss History
How many approved claims have you had in the past 5 years?
Insurers will consider the number of approved damage claims (e.g. water damage) and policy cancellations (e.g. non-payment of premiums) you've received over the previous 5 years as part of their risk calculations. Please complete this section to the best of your ability in order to get the most accurate quotes.
Please provide a brief description of your claim
Have any of your insurance policies have been cancelled by the insurance company in the past 5 years?
*
Yes
No
Insurers will consider the number of policy cancellations (e.g. non-payment of premiums) you've received over the previous 5 years as part of their risk calculations. Please complete this section to the best of your ability in order to get the most accurate quotes.
How many mortgages or lines of credit are secured to your property?
*
0
1
2
More than 2
Is anyone living in the home a smoker?
*
Yes
No
Are there any Business or Farm pursuits at your property?
*
Yes
No
Would you like us to apply a soft credit check discount of up to 20%?
*
Yes - I consent
No - I do not consent
To get your lowest rate a soft credit check must be applied. It will not affect your credit score.
Values
Replacement Cost of Building
Furniture
Clothing
Appliances
Other Property
If you are human, leave this field blank.
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