To receive a free no obligation quotation, simply fill out all of the required fields.  An estimation of your premium will be e-mailed back to you within the next 48 hours.

The following forms are for quotation purposes only and they are not to be considered as an application for insurance nor a policy of insurance.


Name: E-mail: Telephone:
City: Province: Ontario Postal Code:
Renewal Date: Age of Applicant:

Best time to be contacted: Monday Tuesday Wednesday Thursday Friday 

9am-12pm  12pm-4pm 4pm-7pm

Type of dwelling:
Square footage of main floor:  
Year dwelling was built:
Number of stories:
Is there a garage:  yes no
If yes, number of cars: 
Garage type: Detached Attached Carport
Dwelling has the following:  
Additional bathrooms: yes no
 # of bathrooms: # of pieces:
Is there a basement: yes no
Rec Room: yes no   Square footage:  
Finished living area in basement:        yes       no   Square footage:
Finished Attic: yes no Square footage:
Is there any decks: yes no Square footage:
Porches: open closed
# of stories: Square footage:
Inground pool: yes no Wood Burning Stove: yes no
Central air conditioning: yes no   Central Vac: yes no
Sun Room: yes no   Square footage:
Is there a fireplace:
Any built-ins: (hold ctrl to select more than one) 
Is there more than one family in the household?     yes no   
What deductible do you have: $300  $500  $1000
Fire Protection: Within 1000 feet of fire hydrant Within 8 kms of fire station Unprotected
What is your dwelling presently insured for:  
Do you presently have insurance coverages: yes no  
If yes, have you had any claims in the past six years: yes no  
Does anyone in the household smoke: yes no  
Do you require sewer backup coverage: yes no
Do you have a mortgage:   yes no  
Do you have an alarm system:  yes no  
Have you ever had insurance cancelled by any insurer:     yes no