Tenancy Insurance All name(s) on tenancy agreement with your landlord: Your email address: Address of insured property including postal code: Best phone number to call you back at:How many years have you lived hereWhat was your PREVIOUS address (if you have been living here less than 3 years) What is the occupation of all insured(s) on this policy? Some insurance companies give extra discounts based on credit scoring. Please click yes or no if you authorize their use of your personal information to be disclosed for the purpose of trying to obtain extra discounts on your policy. Yes No How many unrelated people are living here? Is this the first time you are getting tenants Insurance Yes No Do you have any current home/condo/tenant insurance? If so, please describe belowHow many years have you been continuously insured?Any claims in the last 10 years? If yes, please state date of loss, amount paid out by ins. company and briefly outline what happened.What is your birthdate person1? MM slash DD slash YYYY What is your birthdate person2? MM slash DD slash YYYY What is your birthdate person3? MM slash DD slash YYYY Year building built where your suite is? ( approx. age ) Please list the current insurer and policy number: If you have a current insurance policy on this location, please send first few pages:Max. file size: 100 MB.Do you have a home based business? No Yes What is the replacement cost value of your contents? Would you like Earthquake Coverage? Yes No Please give me a quote When do you require insurance on this property? Please choose the best that describes your location: Suite in a frame home with less than 6 units total Low rise frame apartment with more than 6 units Low rise frame apartment with less than 6 units high rise concrete building with more than 6 units Is this suite within 300 meters of a fire hydrant & within 8kms of a manned firehall? Yes No Square footage of your Suite ( approx ): Which floor is your unit on? Do you have in-suite laundry? Reverse sloping driveway leading into your unit? Are there any businesses at the building where you have your suite? Yes No Do you have a free standing wood burning stove in your unit? No Yes and I have a passed WETT inspection from the owner Yes and I do NOT have a WETT inspection from the owner. What type of plumbing do you have? copper plastic Please check mark if you have any of the following in your unit: local burglar alarm monitored burglar alarm monitored burglar & fire alarm interior sprinklers water sensors water leak detection system back water valve sump pump battery Please confirm type of electrical you have? 100 amp circuit breakers 200 amp circuit breakers knob and tube aluminum wiring fuses Please confirm type of heating you have? electric baseboard hot air - forced air radiant floor heating hot water baseboard geothermal Would you like an exterior glass breakage policy? Yes No Please tell me more information Do you require special limits on jewellery, fine arts, sports collectables, watches, furs, sporting goods, Cd's? Yes No Please tell me more information Number of Cannabis Plants Grown on Premises? And confirm all is for personal use? How did you hear about our office? I was referred by someone else I am an existing client I am a client of one of your staff members You found us via google search You found us via facebook, or other social media I was driving/walking by and noticed the office. I was doing my auto insurance at the office. CommentsThis field is for validation purposes and should be left unchanged.