Tenant insurance referrals

Effective Date

Email

Phone

Province

Address

Unit number

Applicant 1: First name

Applicant 1: Last name

Applicant 2: First name

Applicant 2: Last name

Have many years have you had continuous insurance

Number of claims in the last 5 years

How much contents coverage is required

Preferred contact method

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

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