Tenant Insurance Program

Effective Date

Phone

Province

Address

Unit number

Applicant 1: First name

Applicant 1: Last name

Applicant 1 Date of Birth

Applicant 2: First name

Applicant 2: Last name

Applicant 2 Date of Birth

Have many years have you had continuous insurance?

Number of claims in the last 5 years

How much contents coverage is required

Are there any special items you are looking to insure (artwork, bicycles, furs, jewelry etc.)

Preferred contact method

Let's work together