Tenant Insurance – Concorde Insurance Quotes

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Enter you Full Name *

First

Last

Date of Birth *

Are you married or single? *

Single
Married

and/or whose gas

Address *

Address Line 1

City

State / Province / Region

Postal Code

How many years have you lived at this address? *

If less than a year, what is your old address? *

Address Line 1

City

State / Province / Region

Postal Code

Phone Number *

Occupation *

Are you a smoker? *

Effective date? *

Can we verify your credit rating to give you the best premium available? (It won’t affect your credit score) *

Do you/OTHER MEMBERS AT HOME have a criminal file or accusation pending against you? *

If yes, have you received pardon? *

Did you/OTHER MEMBERS AT HOME ever declare bankruptcy or have consumer proposal? *

Have you been liberated? *

What year were you liberated? *

Is this your first insurance? *

Enter the name of previous insurance company and policy number? *

How many years have you been insured with them? *

Ever been cancelled for non-payment? *

Have you had any claims in the past 10 years? *

Is the address that you want to insure the same address as you wrote earlier?

Yes
No, I want to insure a different address

Address *

Address Line 1

City

State / Province / Region

Postal Code

Registered under whose name(s)? *

How much do you want to insure for your contents? *

Approximately, how many units are there in the building? *

How many storeys is the building? *

Is there any commerce/shop in the building? *

Is there a mortgage?

Enter the name and address of the mortgagee *

First

Last

Address of montgagee *

Address Line 1

City

State / Province / Region

Postal Code

What amount of deductible would you like? (ex. $500 or $1,000 or $2,500) *

Do you have a Central or local alarm system against theft and/or fire? *

Central Alarm System
Local Alarm System
No Alarm System

Year of construction? *

Last renovation year of the roof? *

Last renovation year of the plumbing? *

Last renovation year of the electricity? *

Last renovation year of the heating? *

Electric or gas or oil heating? *

Electric Heating
Gas Heating

Is electricity with breakers or fuses? (100 or 200 amperes) *

What is the year of your hot water tank? *

Is the hot water tank is in your apartment/dwelling or not? *

Do you have a wood burning stove or gas fireplace or wood fireplace? *

Wood Burning Stove
Gas Fireplace
Wood Fireplace
None

Is the fireplace or wood burning stove built inside or outside the wall? *

Inside the Wall
Outside the Wall

Year of construction of fireplace or wood burning stove? *

Do you have a dog or any domesticated animals? *

Do you cultivate cannabis or do short term rental (AirBNB)? *

Cultivate Cannabis
AirBNB
None

Do you receive clients or have professional tools? *

Receive Client
Professional Tools
None

Choose if you want coverage for water damage, fire and theft? *

Water Damage
Fire Damage
Theft Protection

Do you want coverage for earthquake (fire, smoke, explosion + break to contents and building)? *