Tenant Quote Form - Capital Insurance Brokers

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:*
CP-Address
Address of the home to be insured*
Street Address City Province Postal Code
We provide insurance quotes for Alberta 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?

Almost Done!
Please note that each quote is carefully reviewed by a broker. Please ensure your contact info is accurate so that we may reach out to discuss coverage options and complete the quote. Your personal information will only be used to provide you with insurance quotes.
Primary Phone:*
Secondary Phone:
Which office in Edmonton is most convenient for you?
- Choose "Any Location" for faster service.
- Preference of location may not be important as over 80% of policies have been successfully completed over the phone and by e-signature.
- You may be matched with a different office based on quoting availability.
One last thing...
By clicking "I agree", I understand that the information from this form will be reviewed by an insurance broker (or a partnered broker) in order to provide an accurate quote. I also understand that a broker may contact me via phone or email to obtain additional information needed to provide quotes.
Consent*
- I Agree

Getting to know you