Home QuickQuote

Your Name: *
Your Email: *
Do you currently have insurance with us?  Yes No
Have you ever had homeowners insurance?  Yes No

Do you have a mortgage?  Yes No

What is your occupation? *
What is your date of birth? *
Smoker or Non Smoker? * ---SmokerNon Smoker
How many occupants in the household?
Is it a rental property?  Yes No
Are there any businesses operating out of the house?  Yes No
Is the home a new purchase or are you living there now? * ---New PurchaseLiving There Now
What year was the house built? *
Is your house one storey, two storey, or a bungalow? * ---One StoreyTwo StoreyThree Storey
Exterior of house? Vinyl, brick, or wood? * ---VinylBrickWood

Is the basement finished?  Yes No

What is the total living area? *
How many full and half bathrooms does your house have?
Is there any attached or detached building? (Garage, shed ect)  Yes No

What types of flooring are in the house? Give the percent of each. *
What type of Heat? *
Is there any porches or decks? (If yes, rough sq footage)  Yes No
Is there any swimming pools or hot tubs?  Yes No
Is there any bay windows, picture windows or skylights?  Yes No
Is there any fire places or wood stoves?  Yes No
Is there any central vac, intercom, or burglary alarms?  Yes No
Is the house over 20 years old?  Yes No
When was the roof updated last? *
How old is the oil tank and where is it located? *
Electrical wiring is it 100 Amp or 200 Amp? * ---100 Amp200 Amp
Is the plumbing copper or plastic? ---CopperPlastic
Is the house Hydrant protected or Fire hall protected?  Yes No
What is the approximate distance to fire hall? *

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