| Policy Type: |
Condo
Homeowners
Rented Condo
Rented Dwelling
Tenants
|
| First Name: |
|
| Last Name: |
|
| Phone No.: |
|
| Email: |
|
| Property Address: |
|
| Postal Code: |
|
| Effective Date: |
|
| Named Insureds: |
|
| Date of Birth (mo/d/yr): |
 |
| Any Claims in the past 5 years?: |
Yes No
|
| How many years have you carried insurance?: |
|
| Is there a secondary suite?: |
Yes No
|
| Is there a mortgage: |
Yes No
|
| Year Built: |
|
| Roof Type: |
Asphalt Shingle Clay Shingle Metal Clad Other Wood Shingle
|
| Plumbing Type: |
Copper/ABS PEX
|
| Heating Type: |
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| Electrical Service: |
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| Exterior Finishing: |
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| Number of Stories: |
|
| Number of Bathrooms: |
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| Square Footage: |
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| Any wood heating appliances: |
Yes No
|
| Does the house have any porches or decks?: |
No Yes
|
| If yes describe by size and type (wood) (covered?): |
|
| Monitored Alarm System: |
Yes No
|
| Is there a basement?: |
Yes No
|
| Basement Total Sq Ft: |
|
| Basement Percent Finished: |
|
| Is there a garage?: |
No Yes
|
| Size: |
One Car Two Car Three Car Other
|
| Type: |
Attached Carport Detached
|
| |
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Kamloops Insurance