Creighton & Company: A Toronto Insurance Company: Insurance Quote

Condominium / Tenants Insurance Quote Form

Welcome to Creighton & Company's on-line tenants and condominium insurance quick quote page. Your quote is free and we guarantee a response within one business day. Please ensure you complete the form as accurately as possible as all of the information has a bearing on the premium you will pay.

Due to licensing requirements, we can only provide quotations to residents of Ontario.

If you would rather speak to one of our sales representatives, please call us at (905) 890-0090 or 1-800-813-4450.

Most of the information requested on this form is available on your current policy. To ensure we give you an accurate, comparative quote please refer to it when completing the Coverages Required section.

PERSONAL INFO

What is your name?	What is your e-mail address? (required)
What is your telephone number?	What city/town do you live in?
What is your postal code?	How many years have you had condo/apartment insurance?
Are you a member of a Group Car and Home Insurance Program managed by Creighton & Company?	yes no
If yes, choose your group:

YOUR CONDOMINIUM/APARTMENT

What is the unit type?	Do you rent or own the unit?
Year building was built.
Is the building "fire resistive" (ie. concrete walls)?	yes no
Does the building have more than six units?	yes no
Does your unit have a centrally monitored burglary alarm?	yes no
Is there 24 hour security on the premises?	yesno

COVERAGES REQUIRED

Personal Property. (coverage "C" on your current policy)
Legal Liability. (coverage "E" on your current policy)

OPTIONAL COVERAGES

All condominium and apartment insurance policies contain coverage limitations for valuable items such as jewellery, furs, fine arts, silverware and collectibles. You can list these items separately on your policy for an additional premium to ensure full coverage is applied. If you require additional coverage, please provide details below:
Value of items to be insured
Jewellery	Furs
Fine Arts	Silverware
Other:

OTHER LOCATIONS (COTTAGE OR RENTAL PROPERTY)

Name of city/township.

Postal code.

Year built.

Dwelling value.
(coverage "A" on your current policy)

Personal property.
(coverage "C" on your current policy)

Fire protection.(check all that aply)

within 300m (1000ft) of a fire hydrant
within 8km (5 miles) of a fire hall
unprotected

Building use.

DISCOUNTS

Please check all of the discounts you may be eligible for.

Age (what year were you born:)
Alarm - burglar, is it centrally monitored: yes no
Alarm - fire, is it centrally monitored: yes no
Claims free (no claims in last three years)
Mortgage free

CLAIMS HISTORY

Please list all claims you have made against your insurance policy within the past five years. Examples of claim types include water damage, fire and theft.

	Date of Claim	Description	Amount Paid
1.
2.
3.

How would you like us to contact you? e-mail phone
Before submitting this quote request to our office, please leave us any comments you may have or any additional information one any of the above questions.

The legal stuff: This is a request for an insurance quotation only. Completing and submitting this form does not put any insurance coverage in place on your apartment or condominium. The quotation is subject to underwriting guidelines established by the insurance company.