Online Quotes

Home Insurance

The Standard Insurance Brokers Ltd. Is a leading insurance broker in Northwestern Ontario. We believe in personalized service therefore through this website the Standard Insurance Brokers Ltd offers the first steps to take in order to receive a quote for all of your insurance needs. By filling out the online quote forms our brokers can comparison shop for your insurance on your schedule without the sales pressure. Receive quotes tailored to your specific needs and securely without hassel. You’ll receive quotes from some of Canada’s leading carriers including: Intact, Wawanesa, Economical and more.

Once completed we will have a broker contact you at a time that is convenient for you.

Name:
Address:
City:
Province:
Postal Code:	(X1Y 2Z3)
Phone Number:	(123-456-7890)
What is your date of birth?	(dd/mm/yyyy)
Email Address:	(xxx@yyyy.zzz)
Employer:
Occupation:
# of years:
Marital Status:	Single    Married
Any Business or Farm on Premises?	Yes    No
Mortgagee:
Length of Time Owned Current Home in Years:
New Property Information
List Price:
Purchase Price:
Realtor:
Possession Date:
Insurance History
Present Insurer:
Policy #:
Expiry date with present insurer:	(dd/mm/yyyy)
Number of years continuously insured:
Have you ever had insurance cancelled for Non-Payment?	Yes    No
Present Automobile Insurer:
Expiry date:	(dd/mm/yyyy)
Recent claims
#1:	Type: N/A Break-in Fire Jewellery lost Jewellery lstolen Water damage Other Date: (mm/yyyy)
#2:	Type: N/A Break-in Fire Jewellery lost Jewellery lstolen Water damage Other Date: (mm/yyyy)
#3:	Type: N/A Break-in Fire Jewellery lost Jewellery lstolen Water damage Other Date: (mm/yyyy)
Legal Address (If different than above):
Are you within 300 m of a hydrant?	Yes    No
Are you within 13 km of a firehall?	Yes    No
Year Round Road Access?	Yes    No
Year built:
Total Area:	(sqft)
Type of Exterior Finish (% of each i.e. stucco, siding, etc.):
Number of Families living in home:
Number of Stories:
Type of Home:	Tri-level Bi-level Duplex Triplex
Ceilings & Wall Material:	Drywall Plaster
Type of Floor Covering (% of each i.e. hardwood, vinyl, etc):
Type of Central Air exchange:	None Existing Ducts Separate Ducts
Central Vac?	Yes    No
Fireplace:	None Wood Gas Electric
Woodstove:	None Wood Gas Electric
Electrical system:	60 amps 100 amps 200 amps
Type of Wiring:
Breakers or Fuses:	Breakers Fuses
Is property equipped with an alarm?	None Burglar only Fire only Fire and Burglar
If yes, is alarm	Local only Monitored by company
Number of Bathrooms:	(full)    (half)
Finished Attic?	Yes    No
Wall Coverings :	% paint   % wallpaper % paneling % wood
Please list number of Windows:	(Picture)   (Bay) (Bow) (Atrium) (Stained Glass)
Does your home have any Specialty Doors and quantity (i.e. French or sliding):
Do you have a Basement?	Yes    No
If no, What is below your home?:
Sq ft. of basement:	(sqft)
Finished Basement living space:	%
Basement Foundation?	Wood    Cement
Walkout Basement?	Yes    No
Porch on home?	Yes    No
Porch Screened/Open or Closed Concept?
Sq ft. of Porch:	(sqft)
Deck on home?	Yes    No
Sq ft. of Deck:	(sqft)
Balconies on home?	Yes    No
Sq ft. of Balconies:	(sqft)
Number of car garage or carport:
Garage Type:	None Attached Detached Built-in
Room above garage or carport?	Yes    No
Solarium or Sunroom?	Yes    No
Sq ft. of Solarium:	(sqft)
Breezeway on home?	Yes    No
Sq ft. of Breezeway:	(sqft)
Swimming Pool?	Yes    No
Sq ft. of Swimming Pool:	(sqft)
Type of Swimming Pool:
Addition on home?	Yes    No
Sq ft. of Addition:	(sqft)
Multifamily Homes - Do you have:	Extra Kitchen Separate Heating Unit Separate Electrical
Please List All Outbuildings, including docks and the value of each:
If property over 20 years old, which of the following have been replaced?	Furnace Roof Wiring Plumbing
Please give details on any replaced items:
Please list all other custom items here:
Do you qualify for Discounts on:	Mature Mortgage Free Non-Smoker Claims Free Burglar or Fire Alarm Multi-Policy Renewal New Home
Built In Features at home (Not Removable):	Skylights-Small or Large Solar Panels Air/Heat Exchanger Counter Top Range Dishwasher Chair Lift Whole House Fan Garage Door Opener Jetted Hot Tub Jetted Tub Intercom System Indoor Sprinkler System Wet Bar Sump Pump Sauna Water Purification System Wired Smoke Alarms Battery Smoke Alarms
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