Condo Insurance We need additional information in order to provide an accurate quote. Please fill out the form below to get started. "*" indicates required fields When do you need the coverage?* MM slash DD slash YYYY Email* People reside in this dwelling*Please provide name, date of birth and occupationAddress* Street Address Address Line 2 City Postal Code Province*Choose your provinceAlbertaNew BrunswickNova ScotiaPrince Edward IslandNewfoundland and LabradorWhat's the best phone number to contact you at?How many years have you lived at this location?*Number onlyPrevious Addresses within the last 5 years*Discount EligibilityDo you have auto insurance?* Yes No Who is your auto insurance provider?*What’s your occupation?*What’s your employer?*Previous insurance historyHow many years of continuous home insurance have you had previously?*Have you had home insurance outside of Alberta?* Yes No Any claims in past 10 years?* Yes No Please specify type of claim, year, and payout amount*Building DetailsDoes the home have working smoke alarms?* Yes No Any fire extinguishers?* Yes No Is location within 300 meters of a fire hydrant?* Yes No Is your home within 13km of a fire station?* Yes No Is this a non-smoking home?* Yes No Do you rent any rooms or other space in your home?* Yes No Do you have home based business?* Yes No Please provide details*Do you work from home for your employer?* Yes No Amount of contents that you require*Is there any type of special property that requires extra coverage coverage (Jewelry, Art, Collectables, Sports Equipment, etc.)Please provide item, value and serial number if appliedIs there any unlicensed recreational vehicles?* Yes No Is there an alarm system?* Yes No Is it monitored?* Yes No Other Year built*Type of construction* Frame Fire resistive / concrete Log Other Type of unit* Town House High-rise Bare Land Condo Other Sq. footage of living area:*Exterior finish of home* Vinyl Stucco Hardi‐board (cement fibre) Wood Siding Wood Shake Other Type of roof* Asphalt Wood shake Wood shingle Clay/Slate tile Metal (sheet/tile/shingle) Torch down Tar & Gravel Concrete tile Other What year was the roof installed or last replaced?*Hot water* Tank Tankless Heating type* Furnace In-floor heat Electric Type of wiring* Copper Aluminum Knob & Tube Other Electrical amps* 60 100 120 Other # of Full bathrooms*# of Half bathrooms*# of Bedrooms*Do you own an E-Bike?* Yes No How many are in the household?*Max Speed, Wattage and Value of each?*Do you need coverage for Jewellery Antiques Sports Memorabilia Fine Arts Collectibles Bicycles Golf Carts Electric Bikes Comic Books Are there any special considerations such as common areas or storage facilities that you need to provide extra insurance forCAPTCHABy clicking submit, you are agreeing to our privacy policy. If you are interested in learning more about how Westland protects your personal information, please visit www.westlandinsurance.ca/privacy
