Auto Quote Home Quote Life Quote Get a Quote NowTenant Quote RequestGet a Quote - Tenant Have you ever had any cancellations, claims, or gaps in insurance? * Yes No Email * Name * Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Phone Number * Effective Date * Date of Birth * As your broker, I am gathering this consent on behalf of the insurer who advises me that: in respect of this quotation/application, any policy we issue and subsequent renewals or changes, 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 and in accordance with our privacy policies.Do you, and on behalf of others listed, authorize use 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, determine eligibility and conditions for a premium payment plan, investigate and settile claims, analyze business results and detect and prevent fraud?Do you agree with the following consent statement? * Yes No Number of Unrelated Occupants? * 012345 Do you currently have tenant insurance? * Yes No Name of Current Insurance Provider Date since continuously insured on home or tenant policy? General Distance to the nearest fire hydrant? * Within 150 metresWithin 300 metresUnprotected Distance to the nearest fire hall? * Within 5 kilometresWithin 8 kilometresWithin 13 kilometresOver 13 kilometres Content Coverage Amount? * $35,000 $50,000 $75,000 $100,000 OtherBuilding Information Construction Type? * Wood FrameConcreteFire ResistiveBrick Structure Type? * High Rise ApartmentLow Rise ApartmentBasement ApartmentTownhouseDetachedDuplexTriflex Number of Storeys * Number of Units * Square footage of your unit? * Year building was built? * Year you moved in? * Heating Details Heating Type? * GasOilPropaneElectricHeat Pump Age Of Oil Tank Age Of Furnace? Secondary Heat Source? ClaimsHave you had a claim within the last 6 years? * Yes NoAdditional Information Any Additional Information? Submit