Note that all names listed on title are required to be listed on the policy. This does NOT include Mortgage or financing parties, who will be added later as an Additional Insured.
Note that this form needs to be completed separately for each location.
We just need it to match up for your completed application with the file we've already started for you!
NOTE: Unless you have other reasons for a different date, it is usually cheapest to change at the renewal.
We just need to know a bit more about their operations. E.g. Accountant office, photography studio, retail store, restaurant etc...
This includes renters and your own personal use.
Note: This refers to post secondary students living on their own.
Dependents of tenants don't count.
Note: Each unit will have a separate entrance, kitchen, and bathroom. E.g. A house with multiple bedrooms but a single kitchen is one unit.
The more details the better!
E.g. 2 claims, water damage in basement.
Please provide name and phone number of contact, if different from yourself.
Check all that apply
E.g. Word of mouth, mobile app, online advertising, long term tenants etc...
If you are unsure just of the exact year just provide the approximate decade. Ex. the 80's or roughly how old it is ex. 50+
The insurance companies sometimes need something more specific for their underwriting.
Note: If the exact date is unknown, please use January 1st, with the closest approximate year.
Note: Most modern houses have Asphalt/Fiber Glass shingles
Note: If the exact date is unknown, please use January 1st, with the closest approximate year.
Note: Choose the primary and let us know in the notes if you have secondary or mixed heating.
Note: Let us know in the notes if you have 3 or more heating appliances,
or mixed heating.
Note: If the exact date is unknown, please use January 1st, with the closest approximate year.
Note: If the exact date is unknown, please use January 1st, with the closest approximate year.
Note: Breakers were standardized after 1980s
Note: If this is a new property, you might be required to obtain a letter from the electrician showing that the system is safe and/or proper measures are in place.
E.g. 200 Amps is standard, but also the minimum required if you only have baseboard heating.
Note: This represents the cost of materials and labour to rebuild the whole structure in the event of a total loss, and is NOT the real estate cost/market value. If you have insurance, you can check your old policy, or ask us to help with this number, but average replacement cost per square foot typically starts around $300-$400+.
Note: This is the replacement cost of everything nailed down in the unit, such as upgrades to the flooring or cabinets that you are responsible for. This amount can be zero if this doesn't apply.
Please provide a yearly/annual estimate for the next 12 months.
Note: This is for everything that isn't nailed down, such as furniture, fridge, stove etc... If the unit is rented completely empty this value can be zero.
This is primarily covers claims like slip & falls etc.
Please check any that apply
Note that these selections don't disqualify you from coverage, but may require additional information, please put in more details in the box below.
