Home Insurance
Questionnaire

for Condominium & Townhome Owners


Please complete the form below:

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    First name*

    Last name*

    In the case of multiple owners, please input a comma-separated list of full legal names in the First name field, and a list of corresponding birthdates in the Last name field.
    Email address*

    Phone Number*

    Birthdate*

    Address*

    Occupancy

    Have you ever purchased home insurance before?

    YesNo

    If so, since when?

    Did you have any claims in the past 5 years?

    YesNo

    If so, please provide details.

    What is the total value of your personal belongings?

    Who referred you to us?

    Please prepare a copy of your strata insurance policy when we contact you.

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