Insurance Form
Property Details
Please fill out this form to the best of your abililty for insurance purposes.
Address *
Year Built
Property Type
Attached/Row/Street
Condo
Duplex
Detached
Townhome
Semi-Detached
Farm
Cottage
Link
Mobile/Trailer
Multiplex
Other
Triplex
Vacant Land
Property Style
Bungalow
Raised Bungalow
2-Storey
3-Storey
1 1/2-Storey
Sidesplit 3 Level
Sidesplit 4 Level
Sidesplit 5 Level
Backsplit 3 Level
Backsplit 4 Level
Backsplit 5 Level
Other
Heat Source
Electric
Gas
Ground Source
Oil
Other
Propane
Solar
Wood
Age of Roof/Year Updated:
Age of Furnace/Year Updated
Air Conditioner Age/Year Updated
Age of Fireplace/Year Updated
Age of Electrical/ Year Updated
Age of Plumbing / Year Updated
Year of Alarm System (if applicable)
Distance to Fire Hydrant
Distance to Fire Station
Transferable Warranties
Dishwasher
Furnace
Fridge
A/C
Roof
Stove
Washer & Dryer
Other
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