Home / Condo Insurance Inquiry

Please note that Gamble Insurance serves clients in Southwestern Ontario. Click here to see our office locations.

Policy Holder's Name:
Address:
City: Prov:
Postal:   Telephone:
E-Mail:  Fax:  
Property Address (if different than above)
Address:
City: Prov:
Postal:   Telephone: 
Is this a seasonal dwelling? YES    NO  
Insured's age 

Smoker? YES  NO 
Present value on home/contents $:

Deductible:  $200    $250   $300  $500 

Liability amount $:  500,000     1,000,000  

Sewer backup coverage required:  YES    NO  

Jewellery coverage required:     YES     NO  

IF YES PLEASE GIVE AMOUNT $:
Claims in the last 5 years? YES  NO  

IF YES PLEASE GIVE DETAILS:

For Tenant and Condo only:

Rental Unit Type:   Highrise    Townhouse    House 

Condo Type:         Highrise    Townhouse

For Home, Condo and Seasonal only:

Alarm system: YES  NO 

Age of building: 
( if over 25 answer the next 4 questions )

1) Furnace type:   Year replaced or inspected: 

2) Plumbing type:  Year replaced or inspected:  

3) Wiring amps:    Year replaced or inspected: 

4) Roof:  Year replaced or inspected:
Payment options: Monthly Yearly 
Thank you for your inquiry

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