587-998-8587 info@insurecalgary.com

Home Insurance

You’ve invested a lot in your property. It is not simply a house, it is your home. Protect it from the unknowns of the future with a customized home insurance policy. Your home insurance policy provides coverage for your home and your personal belongings, as well as liability protection.

Home Application

  • Contact Information
  • Building Information
  • Insurance Information

Contact Information

First Name

Last Name

Email Address

Phone Number


Postal Code

Date of Birth

Building Information

Address of Location

How long have you lived at this address?

Cost of the home?

Do you have a mortgage?

Name of the financial institution of your mortgage.

Age of the building:

Number of Bedrooms:

Number of Bathrooms:

Total Square Feet:

Do you have a basement?

Do you have a garage?

Do you have a deck?

Do you have a monitored alarm?

Do you have a sprinkler system?

Total value of the contents of your home:

Any other comments about your home?

Insurance Information

Do you currently have home insurance?

Name of Insurance Company.

How long have you been insured?

Have you had any claims in the last five years?

If yes, enter the details of the claim.

Our Insurance Partners

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