Tenant Insurance
Tenant Legal Full Name (All Tenants) Please use this format (Last Name, First Name + Middle Name)
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Gender of All Tenants
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Tenant Date of Birth (All Tenants)
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Tenant Occupation (All Tenants)
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Tenant Email (All Tenants)
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Tenant Phone Number (All Tenants)
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Property Address (Place is going to rent)
Street Address
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City
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Postal code
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Previous Living Address
Full Address Including City & Postal Code
Occupancy Date (the day you move in)
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What are you renting?
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What are you renting?
Bachelor Suite of a House
Condo/Townhome Unit
Basement Suite of a House
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Your household has any dogs?
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No
Yes
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Any other tenants living with you?
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Any other tenants living with you?
No, just myself
Yes, with my spouse/common law/in relationship
Yes, with roomate
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How many unrelated roommates are living in the same unit?
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Do you currently have any home/condo/tenant insurance in force?
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Do you currently have any home/condo/tenant insurance in force?
No
Yes
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Please select all applicable regarding your existing insurance policies
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I currently have a tenant insurance
I currently have a home/condo insurance on my primary residence
I currently have a home/condo insurance on my rental properties
Please upload all your existing home/condo/tenant insurance policies for potential premium discount
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Please upload all your existing home/condo/tenant insurance policies for potential premium discount - .pdf, .docx, .doc, .jpeg, .jpg, .png, .gif
How long have you had ANY property insurance without gaps (since when)?
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Do you have any claims in the past 10 years?
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Do you have any claims in the past 10 years?
No
Yes
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Please explain the claim details including Dates & Causes
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Do you have any cancelled/declined/refused to renew from an insurance company?
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Do you have any cancelled/declined/refused to renew from an insurance company?
No
Yes
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Please explain the details
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Do you have home-based business?
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No
Yes
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Select one of the options
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Paper work only, no client visit, no inventory
Stock/supplies storage at home, no client visit
Paper work and client visit my place
Client visit my place and stock/supplies storage at home
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Please explain your home-based business
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Do you want to list any valuables such as jewelry, musical instruments, wedding rings, luxury devices, etc (Additional premium may apply and must provide appraisal and receipt)
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No
Yes
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Please list all the valuables and prices
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Request Liability Coverage
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1 Million
2 Million
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Request Content Coverage (How much to replace your personal belonging if a total loss happens?)
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Minimum (35-40k which ever applicable for best premium)
Enter coverage amount
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Please enter the content coverage amount
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Anything else I should know?
How did you find out about us?
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