Fast-Track Home Questionnaire

Congratulations! Based on the information you submitted, our insurance products appear to be a good fit for you.

Bundled Auto Insurance Quote

Estimated time to complete: 5 minutes

How everything works:
1) You fill out this form.
2) A local broker will carefully work on your quote, and get in touch with you for additional information if needed.
3) Review coverage options with your broker by phone or appointment, and start your policy!

Estimated time to complete: 10 minutes

How everything works:
This form is designed to help us gather the extra details needed to prepare your auto insurance application. It covers important questions about your vehicle and drivers, along with a list of documents we’ll need. Filling out this form helps your broker fast-track your quote through the application process.

You may save and continue this form at any time.

Who is the broker working on this quote?*

Insurance Carrier*

How many applicants are there?*

The applicants are the individuals with signing authority on the insurance policy as well as ownership of the properties, and are financially responsible for the insurance policy. There may be a single applicant for an insurance policy containing multiple drivers and vehicle.

Applicant Info

Name of Applicant 1*

First Last

Occupation and Place of Employment for Applicant 1

Some occupations or employers may be eligible for additional discounts.

Email Address for Applicant 1*

This email will be used to electronically sign your application later.

Name of Applicant 2*

First Last

Occupation and Place of Employment for Applicant 2

Some occupations or employers may be eligible for additional discounts.

Email Address for Applicant 2*

This email will be used to electronically sign your application later.

Name of Applicant 3*

First Last

Occupation and Place of Employment for Applicant 3

Some occupations or employers may be eligible for additional discounts.

Email Address for Applicant 3*

This email will be used to electronically sign your application later.

Name of Applicant 4*

First Last

Occupation and Place of Employment for Applicant 4

Some occupations or employers may be eligible for additional discounts.

Email Address for Applicant 4*

This email will be used to electronically sign your application later.

Does any applicant for insurance currently owe any money on another Alberta Property Policy?*

Example: Previous NSF from a monthly payment plan that led to the cancellation of a home insurance policy and an outstanding balance.

Bundled Auto Insurance Quote

Fast-Track Home Questionnaire

Applicant Info

Policy Setup

Risk Underwriting

Carrier Specific

Required Documents