Tell us about yourself:

Date of Birth Month Day Year

First Name

Last Name

Postal Code

Home Condo Tenant

Close We collect and use credit file information (credit score and/or credit report) to determine coverage needs and to assess risk where permitted by product line or by provincial regulations. Your credit file information permits us to provide you with the most competitive quote for new business, as well as for policy renewals or changes, and this inquiry has no impact on your credit rating. Your credit file information will be obtained, where applicable, from TransUnion (Box 338, LCD 1, Hamilton, ON, L8L 7W2).

Close By providing your phone number and email address, a representative of The Co-operators may follow up with you to discuss this insurance quote. Or, you can contact us directly at to finalize your quote. Any information you provide is governed by our privacy policy.

Phone Number

Email Address

Do you consent to a credit score check?
Why we ask this

Yes No

Any information you provide is governed by our privacy policy.

Tell us about your home:

Year your home was built

Distance from a fire hydrant

Distance from a fire hydrant:

Less than 300 metres

Distance from a fire station

Distance from a fire station:

Less than 8 km

I consent to the collection and use by Co-operators General Insurance Company, via its third party service provider, Kanetix Inc., of the personal information I provide as part of this online quote request, so that Co-operators General Insurance Company can assess which insurance products are suitable for my needs and provide me with an accurate quote with respect to such insurance products. I understand that Co-operators General Insurance Company will not disclose such personal information to other parties except with my prior consent or where required by law. I agree that I will only provide the personal information of other individuals as part of this online quote request if I have previously obtained their permission to do so.

I agree

Deductible	$500 $1000
Deductible	$300 $500 $1000
Liability	$1000000 $2000000
Guaranteed Replacement on building	Yes
Personal Property Coverage Limit
Desired amount of insurance

Coverages Options	Coverages Limits
Deductible	$500 $1000
Deductible	$300 $500 $1000
Liability	$1000000 $2000000
Guaranteed Replacement on building	Yes
Personal Property Coverage Limit
Desired amount of insurance

Tell us about yourself:

Tell us about your home:

Primary heat source

Type of roof

Age of roof

Number of claims in the last 5 years

Number of mortgages on your home

How many units does the building have?

Occupation

Do you have other insurance policies with The Co-operators?

How many years have you been a client?

Years residing at your current address

Tell us about yourself:

Tell us about your home:

Primary heat source

Type of roof

Age of roof

Number of claims in the last 5 years

Number of mortgages on your home

How many units does the building have?

Occupation

Do you have other insurance policies with The Co-operators?

How many years have you been a client?

Years residing at your current address

Let us call you

Time

Thank you.

Email estimate

Thank you.