Tippetpark – Kwinter Court

Address: Tippett Park - 20 Monte Kwinter Court, Toronto, ON M3H 0E1
Number of bedrooms in my unit: 12

D.O.B. Co-applicant D.O.B. Relationship —Please choose an option—SpouseParentChildOther

Email

N/A

Expiry Date

Years with Present Insurer Years of Continuous Property Insurance

Occupant Date at Current AddressEffective Date of Coverage Needed

Has your property insurance been cancelled or refused (ie. non-payment or underwriting reasons) in the past 3 years?YesNo
If yes, please indicate when and why

Have you had any claims including water damage in the last 5 years?YesNo
If yes, please indicate when and why

Occupancy of Property PrimarySecondary  Are all occupants non-smokers?YesNo

For a multi-policy discount, do you also have auto insurance? YesNo
If yes, insurer name

Contents Limit Required $15,000$25,000$35,000$45,000$55,000$65,000$75,000$85,000$95,000$100,000+

Additional coverages required (jewelry, watercraft, home business extension)

Additional Notes (optional)

Do you give consent for collection and use of a credit score? YesNo

If you're financially responsible and have provided use for your credit score, you may see lower premiums.

Note: Credit cards can only be charged annually.

Method of Payment: —Please choose an option—Credit CardBank WithdrawalCheque Payment Schedule: —Please choose an option—MonthlyAnnually