The Insurance Exchange - London Ontario Insurance
 
 
 
 


Home Insurance Quote

First Name:
Last Name:
Street Address:
City:
Province:
Postal Code:
Home Telephone Number:
Work Telephone Number: ext
Email:
 
Type of Property
Have you had any personal property claimed in the past 3 years?
Have you had any cancellations for non-payment in the past 3 years?
Age of Insured
Non-Smoker?
Is your property located within 300 m (1000 ft) of a fire hydrant?
 
Is your property located within 8 km (5 miles) of a fire hall?
 
Policy Deductible Preferred:
   
Liability Amount Requested:
Estimated replacement value of personal property (condo and renters only)
FOR HOMEOWNERS ONLY
Present insured value
Estimated replacement value of dwelling
Morgage on Home
Yes
Year Built
Square footage of Ground Floor
Type of Dwelling:
Construction of Dwelling
Percentage of Basement Finished:
Extra Bathrooms:
Central Air
Yes
Porches:
Square Footage:
Deck
Yes Square Footage:
Garage type:
Size:
Woodstove
Yes
Manufacturer:
Year Built:
Cords of Wood Per Year:
Type of Heat
Year Updated:
Type of Wiring
Year Updated:
Type of Plumbing
Year Updated:
Type of Roof
Year Updated:
 
   

 

 

 

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