Hodges & Company Insurance Services - BC Canada - auto, home, life, business, travel insurance and more

Condominium and Townhouse Unit Owners Contents Insurance

Amount of Personal Property Insurance Required?	$
Design type
Construction
Is there any wood heating in your home other than a fireplace	Yes No
	If yes please describe
How many adults are residing in the household?	1 2 3
What is the relationship of the adults living in the household?
Have you had any losses in the past 3 years?	Yes No
If yes, please explain:
Do you currently carry insurance?	Yes No
If yes, when does it expire?
What was the name of your last insurance company?
Have you been insured within the past 30 days?	Yes No
How many years have you carried continous coverage?
How would you like us to provide this quote?	Phone Fax E-mail
First Name
Last Name
Street Address
City
Province
Postal Code
Phone Number
Fax Number
Email Address
Owners / Occupant Age Discount:
Questions / Comments