Home Quote - Referral - ARC Insurance Brokers

1Basics

2Structure

3Exterior

4Interior

5Owners

6Coverage

7Final Details

Thank you for completing your auto quote! Let's start your property quote.

Estimated time to complete: 9 minutes

Please note that this form allows you to save and continue later, if needed. Once completed, a local broker will carefully review your quote and get in touch with you coverage and pricing options, or to gather additional info as required.
Property Insurance Quote

Estimated time to complete: 9 minutes

How everything works:
1) You fill out this form. If you're not sure of some of the questions, you can save the form and continue later.
2) A local broker will work on your quote, and get in touch with you for additional info if needed.
3) Review coverage options with your broker by phone or appointment, and start your policy!
Getting to know you
Who is the broker assigned to this file?*
Email:*

By completing the webform, the user understands that ARC Insurance Brokers may collect, use, and disclose your personal information to appropriate third parties, including credit, investigative, and claims reports, as permitted by law. This information is used to provide insurance quotes, assess policies/renewals, investigate/settle claims, and detect/prevent fraud.
CP-Address
Mailing Address*
Street Address City Province Postal Code

We provide insurance quotes for Alberta and British Columbia residents only.
Is your home address the same as the mailing address you entered above?
Address of the home to be insured*
Street Address City Province Postal Code
How many years have you owned this home?
Is this (or will this be) your primary home?
Who will be living in this home?
Counting back from today, how many years of continuous property insurance have you had (Incl. Condo or Tenant's)?
Have you had any property insurance claims in the past 10 years?
Have you had any payment issues (NSFs) or any cancellations due to non-payment on insurance in the past 3 years?

Interior
How many kitchens are in your home?
How would you describe the finishing quality of this home?
How many full, half, and 3-quarter bathrooms are there in the home?
Utilities and Safety Features
Primary heating type?
What is the age of the furnace?
Is there any secondary heating?
Check all that apply
- Wood Fireplace (Original)
- Wood Fireplace Insert
- Wood Stove
- Other
Please describe your secondary heat source
Is there any high-risk plumbing in the home, such as polybutylene (Poly-B) or cast iron pipes?
If unsure, photos or a home inspection report may be required.
What type of plumbing is installed throughout your home? (Select all that apply)
- Cast Iron
- Copper
- PEX
- Poly-B
- PVC
What is the age of the hot water tank?
What is the age or last update to the electrical system?
Is there any high-risk electrical wiring in the home, such as Aluminum or Knob & Tube wiring?
If unsure, photos or a home inspection report may be required.
What kind of electrical wiring is installed throughout the home?
Does the home have a main circuit breaker panel of at least 100 amps?
Do you have solar panels installed on your home?

Owner Information
How many people are on title for this house?*
Owner #1: Legal Name*
First Last
Owner #1: Date of Birth (mm/dd/yyyy)
MM
DD
YYYY
Owner #1: Occupation
Owner #2: Legal Name
First Last
Owner #2: Date of Birth (mm/dd/yyyy)
MM
DD
YYYY
Owner #2: Occupation
Owner #3: Legal Name
First Last
Owner #3: Date of Birth (mm/dd/yyyy)
Month
Day
Year
Owner #3: Occupation
Owner #4: Legal Name
First Last
Owner #4: Date of Birth (mm/dd/yyyy)
YYYY
MM
DD
Owner #4: Occupation

Thank you for completing your auto quote! Let's start your property quote.

Property Insurance Quote

Getting to know you

Structure

Exterior

Additional Structures

Interior

Utilities and Safety Features

Owner Information

Discounts and Coverages

Almost Done!

One last thing...