Family Owned and operated for 50 Years

Tenants Insurance

Name:
Address:
City:
Province:
Postal Code:
Phone Number:
Email Address:
Years Continuously Insured:
Estimated replacement value of personal property:
How many years have you consistently had a property policy in force:
Any claims in the last 10 years, if yes please provide details:	YesNo
Details:
Do you have a monitored alarm (fire & burglary):
How many years living in current home:
What is your occupation:
Current Insurance company and renewal date:
Have you ever been cancelled for non-payment:
Has your policy lapsed for any other reason by insurance company:	Yes No
Is there any jewelry or boat requiring additional coverage:	Yes No
Building description, include any commercial units:
Number of units in building:
Main source of heat:
Description of unit, does it include basement:

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