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New Client Form
1. Full name of Homeowners- Residents / Nom complet des propriétaires- résidents
(Required)
2. Dwelling address / Adresse du domicile
(Required)
3. Phone Number / Numéro de téléphone
(Required)
4. Email
Enter Email
Confirm Email
5. Date of Birth of Insured / Date de naissance de l'assuré
(Required)
MM slash DD slash YYYY
6. Year of Last Update: Electrical / Année de la dernière mise à jour : Électrique
(Required)
7. Year of Last Update: Plumbing / Année de la dernière mise à jour : Plomberie
(Required)
8. Year of Last Update: Heating / Année de la dernière mise à jour : Chauffage
(Required)
9. Year of Last Update and Type: Roof / Année de la dernière mise à jour et type : Toit
(Required)
10. Do you have a Mortgage (or Home Line of Credit) for this dwelling / Avez-vous une hypothèque (ou une marge de crédit résidentielle) pour ce logement?
(Required)
Yes
No
11. Have you had any claims in the past 3 years? If yes, Provide details of the loss / Avez-vous eu des réclamations au cours des 3 dernières années ? Si oui, fournissez des détails sur la perte.
(Required)
12. Picture of Home: Front of house / Photo de la maison : Façade de la maison
(Required)
Max. file size: 499 MB.
13. Picture of Home: Back of house / Photo de la maison : Arrière de la maison
(Required)
Max. file size: 499 MB.
14. Picture of Home: Any detached structures / Photo de la maison : Toutes les structures détachées
(Required)
Max. file size: 499 MB.
15. Picture of Home: Kitchen / Photo de la maison : Cuisine
(Required)
Max. file size: 499 MB.
16. Picture of Home: Heating System / Photo de la maison : Système de chauffage
(Required)
Max. file size: 499 MB.
17. Picture of Home: Electrical Panel Photo de la maison : Panneau électrique
(Required)
Max. file size: 499 MB.
18. Optional: Add Any other important home system or unique items to be insured.
Max. file size: 499 MB.
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