Tel: 613-342-9076 Toll Free: 866-648-7889 contact@rickbeer.ca

Home & Property Insurance

No matter what type of home you have, how much property you own, or whether you rent or own, we have coverage to fit your needs.

Flexible Coverage for All Types of Property

Own or rent, condo or home, we have coverage that will meet your needs and protect some of your largest investments.

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Name on Title Address
Home Phone (required) Mobile Phone (required)
Email (required) Any Claims in the last five years?
YesNo

If yes, explain.

Purchase Date Do you rent any portion of the house?
YesNo
Year Built Square Feet Any Smokers?
YesNo
Dwelling Type Home Type Construction Type

Bathrooms

Full Half Three Quarter

Do you have pets?? YesNo

Basement

Do you own a basement? YesNo

Finished? Full or Partial Year Finished Square Feet
YesNo FullPartial

Garage

Do you own a garage? YesNo

Size of Garage Attached or Detached
AttachedDetached

Deck

Do you own a deck? YesNo

Do you have a deck? Square Feet of Deck Deck Material
YesNo

Home Improvements/Updates

Have you done any updates to the home? YesNo

Have you updated the heating? YesNo

Have you updated the plumbing? YesNo

Have you updated the electrical? YesNo

Describe the electrical wiring in your home.

Amps Circuit Breaker or Fuse Box Type of Wiring
Circuit BreakerFuse Box KnobTube
Year Roof was updated Market Value of House Specialty Features of Home
Mortgage on Property? One Mortgagee or Two? Name(s) of Mortgagee
YesNo OneTwo
Do you have a monitored security alarm? If yes, name of monitoring company
YesNo

Current Coverage

Current Company Policy Number Years with Company
YesNo

Additional Features or Comments

Reach Us

Contact us today for a FREE quote.

163 Ormond Streeet,
Brockville, ON K6V 2L2

Tel: 613-342-9076
Toll Free: 866-648-7889

contact@rickbeer.ca

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