Tenant Quote Form - Capital Insurance Brokers

1Start

2Your Info

3Dwelling Info

4Coverages

5Almost Done

Thank you for completing your auto quote! Let's start your tenant quote.

Estimated time to complete: 5 minutes

Once you've completed the form, a local broker will carefully review your quote and get in touch with you coverage and pricing options, or to gather additional info as required.
Tenant Insurance Quote

Estimated time to complete: 5 minutes

How everything works:
1) You fill out this form.
2) A local broker will work on your quote, and get in touch with you for additional info if needed.
3) Review coverage options with your broker by phone or appointment, and start your policy!
Getting to know you
Email:*

By completing the webform, the user understands that Capital Insurance Brokers may collect, use, and disclose your personal information to appropriate third parties, including credit, investigative, and claims reports, as permitted by law. This information is used to provide insurance quotes, assess policies/renewals, investigate/settle claims, and detect/prevent fraud.
CP-Address
Address of the home to be insured*
Street Address City Province Postal Code

We provide insurance quotes for Alberta and British Columbia residents only.
Is your mailing address the same as your home address above?
CP-Address
Mailing address*
Street Address City Province Postal Code
How many years have you lived at this address?
Who will be living in this home?
How many years of continuous home insurance have you had?
How many home insurance claims have you had in the past 10 years?
Have you had any payment issues (NSFs) or any cancellations due to non-payment on insurance in the past 3 years?

Applicant Information
How many adults are living at the address?
Applicant #1: Name
First Last
Applicant #1: Date of Birth (mm/dd/yyyy)
Month
Day
Year
Applicant #1: Occupation
Applicant #2: Name
First Last
Applicant #2: Date of Birth (mm/dd/yyyy)
Month
Day
Year
Applicant #2: Occupation
Applicant #3: Name
First Last
Applicant #3: Date of Birth (mm/dd/yyyy)
Month
Day
Year
Applicant #3: Occupation
Applicant #4: Name
First Last
Applicant #4: Date of Birth (mm/dd/yyyy)
Year
Month
Day
Applicant #4: Occupation

Thank you for completing your auto quote! Let's start your tenant quote.

Tenant Insurance Quote

Getting to know you

Applicant Information

Dwelling Information

Coverages

Almost Done!

One last thing...

Thank you for completing your auto quote! Let's start your tenant quote.

Tenant Insurance Quote

Getting to know you

Applicant Information

Dwelling Information

Coverages

Almost Done!

One last thing...

Get A Free Insurance Quote