Tablet - Home Step 1: Contact InfoName* First Last Address* Street Address Address Line 2 City State / ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email* Phone*Date of Birth* Date Format: MM slash DD slash YYYY Step 2: Home InfoApproximate size in sq. ft. (not including basement)*Have you had prior property insurace?*YesNoIf yes, for how long?*Have you had any claims in the past 5 years?*YesNoAny insurance cancellations?*YesNoIs there a mortgage?*YesNoDo you own any other properties?*YesNoDo you have any roommates?*YesNoNameThis field is for validation purposes and should be left unchanged. Need help completing this form? Please feel free to contact us at 1-877-505-6440