Nicole Property quote - Tanner Insurance Brokers

What type of property would you like quoted?*

Make sure to select the proper type of quote.

HOMEOWNER'S ON TITLE

Please complete details for every person who's name is on title as owner of the property. Must be completed for an accurate quote.

How many people's names are on title as owners of the property?*

Name*

First Name Last Name

Phone Number*

Optional Secondary Phone Number

Email*

Optional Secondary Email

Date of Birth*

Gender*

Current Occupation*

Certain occupations qualify for preferred rates, be as detailed as possible.

Desired Effective Date*

What day would you like the insurance to begin?

How did you hear about us?*

CONDOMINIUM OWNER'S ON TITLE

Please complete details for every person who's name is on title as owner of the condominium. Must be completed for an accurate quote.

How many people's names are on title as owners of the property?*

Name*

First Name Last Name

Phone Number*

Optional Secondary Phone Number

Email*

Optional Secondary Email

Date of Birth*

Gender*

Current Occupation*

Certain occupations qualify for preferred rates, be as detailed as possible.

Desired Effective Date*

What day would you like the insurance to begin?

How did you hear about us?*

TENANT'S ON RENTAL AGREEMENT

Please complete details for every person who's name is on the rental agreement. Must be completed for an accurate quote.

How many people's names are on the rental agreement as renter's?*

Name*

First Name Last Name

Phone Number*

Optional Secondary Phone Number

Email*

Optional Secondary Email

Date of Birth*

Gender*

Current Occupation*

Certain occupations qualify for preferred rates, be as detailed as possible.

Desired Effective Date*

What day would you like the insurance to begin?

How did you hear about us?*

Second Applicant's Details

2nd Name on title*

First Name Last Name

Date of Birth*

Gender*

Current Occupation*

Certain occupations qualify for preferred rates, be as detailed as possible.

Third Applicant's Details

3rd Name on title*

First Name Last Name

Date of Birth*

Gender*

Current Occupation*

Certain occupations qualify for preferred rates, be as detailed as possible.

Fourth Applicant's Details

4th Name on title*

First Name Last Name

Date of Birth*

Gender*

Current Occupation*

Certain occupations qualify for preferred rates, be as detailed as possible.

Location Details

Use of the property?*

How is the property going to be inhabited, this is important for the proper coverage to be applied to your quote.

Property Address*

Please mention if there is a unit number.

Street Address City Province

Postal Code*

Mailing Address*

Please mention if there is a unit number.

Street Address City Province

Mailing Postal Code*

Postal Code for Mailing Address

Distance To Nearest Fire Hydrant*

Distance To Nearest Firehall*

Business in the home?*

Is there any business activity in the home?

Describe business in the home.*

Please describe the business in the home. Be as detailed as possible about the business.

Property Details

How many storeys?*

This does NOT include the basement.

What type of property will you be renting?*

If inside a building select High-rise Apartment. If inside a home the basement does NOT count as a storey.

Type of structure?*

How many storeys?*

If condo is in a high-rise building select high-rise. The basement is NOT included as a storey.

Estimated square footage?

This only includes main level and upstairs. Basement square footage is excluded from this calculation.

How many bathrooms?*

How many kitchens?*

How many bedrooms?*

Finished basement?*

Type of Siding?*

Which type of siding is the majority of the exterior?

Which type of garage?*

1. Attached = Attached to the house but no room above 2. Built-In = Has a room above the garage 3. Basement = Below grade, level with basement

Is there a swimming pool?*

Does not include hot tub or sauna.

When was the pool installed?*

Is the pool fenced in?*

Is there a fence that surrounds the pool?

How much content coverage will you require?*

This is the amount of money you will require to replace your belongings if they were destroyed.

Dates Details

Which year was the building constructed?*

Possesion Date?*

When did you or will you be taking possession of this property?

Electrical Update*

When was the electrical last updated?

Type of electrical wiring?*

Copper is the most up to date type of electrical wiring.

How many AMPS on the panel?*

Can normally be found on the electrical panel. Most homes have 100 amps.

Type of electrical panel?*

Breakers are the most up to date type of panel.

Plumbing Update*

When was the plumbing last updated?

Type of plumbing?*

Copper / ABS is the most common type of plumbing.

Septic or City Sewage?*

Most homes in the city are on city sewage.

Age of Hot Water Tank?*

When was the hot water tank last updated?

Roof Update*

When was the roof last updated?

Type of roofing material?*

Most peaked roofs have Asphalt Shingle. Most flat roofs have Tar & Gravel.

Primary Heating Update*

When was the primary heating last updated?

Type of primary heating?*

Most residential homes use a Natural Gas Furnace as a primary source of heating.

Is there a secondary source of heat?*

Dates Details

Which year was the house - or- building built?*

Possesion Date?*

When did you or will you be taking possession of this property?

Type of primary heating?*

Most residential homes use a Natural Gas Furnace as primary source of heating. Many high rises use Electric as primary source of heating.

Insurance Experience

Insured since?*

When was the first time you ever had property insurance?

Name of current insurance company?*

Specifically for any form of property insurance.

How long with current insurance company?*

When did you first begin with your current property insurance carrier?

How many home claims in past 5 years?*

This does not include car insurance claims.

Provide details about the claim(s).*

Please provide as many details about the cause of the claim?

Year Claim Occured?*

When did the claim originally occur? Only the last 5 years are rateable.

Is the claim currently closed?*

Has the claim come to an end?

How much was paid out?*

Roughly how much has the insurance company paid out on this claim?

How many cancellations for non-payment in past 5 years?*

Missing payments for home insurance that lead to a cancellation.

Provide details about the cancellation for non-payment.*

Please provide as many details about the cause of the cancellation for non-payment, date it occurred and name of the insurance company.

Discounts

This section can offer substantial discounts to your quote.

Multi-Policy Discount?*

If you are willing to bundle your car insurance with your property insurance you can receive a discount on each product.

Smoker-Free Household Discount?*

In order to be eligible no smoker can live at the house, even if they always smoke outside.

First Time Buyer Discount?*

In order to be eligible everyone listed on the title must be purchasing for the first time.

Mortgage Free Discount?*

In order to be eligible the property must not have a mortgage or a secured line of credit.

Alarm Discount?*

In order to be eligible you must have an alarm that is monitored and be able to provide a certificate from the alarm company.

Credit Consent Given? - soft credit check - (will not affect credit score)*

“As your broker, I am gathering this consent on behalf of the insurer who advises me that: In respect of this quotation, we may collect, use and disclose personal information reports including policy history, claims history, investigative information, rating information, risk information and only with respect to you, your personal credit information including credit score, as permitted by law. Do you, and on behalf of others listed, authorize us to collect, use and disclose to appropriate third parties, including your broker, this information solely relating to your personal property policy for the purposes necessary to assess the risk, determine a premium, investigate and settle claims, analyze business results and detect and prevent fraud? “

Optional Picture & Document Upload

Optional feature, upload pictures of any important documents, or features of the home, etc.

Drop files here or

Max. file size: 50 MB.

Optional Comments

Include any additional comments.

Property Quote Form

HOMEOWNER'S ON TITLE

CONDOMINIUM OWNER'S ON TITLE

TENANT'S ON RENTAL AGREEMENT

Second Applicant's Details

Third Applicant's Details

Fourth Applicant's Details

Location Details

Property Details

Dates Details

Dates Details

Insurance Experience

Discounts

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