Vachon Enright & Peter Insurance Ltd.

HOME INSURANCE QUOTE

Welcome to Vachon's on-line house insurance quick quote page. Your quote is free and we guarantee a response within one business day. Please ensure you complete the form as accurately as possible - all of the information has a bearing on the premium you will pay.

If you would rather speak to one of our sales representatives, please call us at (416) 239-3373 or email getaquote@vachoninsce.com.

PERSONAL INFORMATION
NAME:
EMAIL:
PHONE:
CITY/TOWN:
POSTAL CODE:
How many years have you had property insurance?	years months
Are you a member of a Group Car and Home Insurance Program managed by Vachon Insurance?	Yes No
If yes, enter your group:
Discounts for Firefighters or OLBEU Employees
YOUR HOME
Year Built:
Building Type :
Fire protection.(check all that aply)	within 300m (1000ft) of a fire hydrant within 8km (5 miles) of a fire hall unprotected
COVERAGES REQUIRED
Dwelling building. (replacement cost of house, not market value. Coverage "A" on your current policy)
Legal Liability. (coverage "E" on your current policy)
OPTIONAL COVERAGES All house insurance policies contain coverage limitations for valuable items such as jewellery, furs, fine arts, silverware and collectibles. You can list these items separately on your policy for an additional premium to ensure full coverage is applied. If you require additional coverage, please provide details below:
Value of items to be insured	Jewellery Furs Fine Arts Silverware Other:
Other Locations (cottage or rental property):
Name of city/township.
Postal code.
Year built.
Dwelling value. (coverage "A" on your current policy)
Personal property. (coverage "C" on your current policy)
Fire protection.(check all that aply)	within 300m (1000ft) of a fire hydrant within 8km (5 miles) of a fire hall unprotected
DISCOUNTS Please check all of the discounts you may be eligible for.
Age (what year were you born:)
Alarm - burglar, is it centrally monitored:	yes no
Alarm - fire, is it centrally monitored:	yes no
Claims free (no claims in last three years)
Mortgage free
Non-smoker
CLAIMS HISTORY
Please list all claims you have made against your insurance policy within the past five years. Examples of claim types include water damage, fire and theft.. include: date of claim, description of claim, amount paid for claim
How would you like us to contact you?	email phone
Before submitting this quote request to our office, please leave us any comments you may have (i.e. additional information on any of the above questions).
`This is a request for an insurance quotation only. Completing and submitting this form does not put any insurance coverage in place. The quotation is subject to underwriting guidelines established by the insurance company.`