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First Name*

Last Name*

Phone Number*

Email*

Complete Address*

Insurance Type(s)*

Date of birth*

Current Insurer*

Renewal Date*

Have you or anyone living under your roof had a criminal record in the last 10 years?*

Has your insurance policy already been canceled or refused in the last 3 years?*

Have you ever gone bankrupt?*

You are:*

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By clicking on 'Obtain my quote', I accept the terms and conditions and that my information is sent to a partner insurer so that he can make me a quote. I also agree that he will contact me by phone to complete my request.

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Auto

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Home

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Home2

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Condo

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Car

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Commercial

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Life

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insucar

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insuhome

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Car Quote

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You are almost there! You have just completed the request for an Express Quote!

To receive your 3 quotes that will be as close as possible to the actual premium, please complete the 2nd part of the form below to the best of your knowledge. Generally, these details can lead to substantial reductions of up to 20% to 40% and it takes less than 5 minutes to complete! In case you decide to stop your approach here, your request will be sent to only one partner insurer.

Unique ID
Number of registered owner(s):
OWNER #1
Full Name:*
Date of birth*
YYYY dash MM dash DD
Address*
City:*
Zip Code:*
Province:
Since when do you live at this address
YYYY dash MM dash DD
Email:*
Main phone Number*
Work phone number:
Mobile phone Number:
Preference of contact:
To which number?
What is your situation?*
OWNER #2
First name:
Last Name:
Date of birth:
YYYY dash MM dash DD
Civic No:
Apt:
City:
Zip Code:
Province:
Street:
Since when do you live at this address?
YYYY dash MM dash DD
Email:
Main phone Number:
Work phone number:
Mobile phone Number:
Preference of contact:
To which number?
What is your situation?
Send me my submissions by text message (sms):
Information
Please select the reason for your request?
Effective date of your current insurance policy:*
YYYY slash MM slash DD
Current Car Insurer:
Annual Auto Premium:
Renewal Date of your Home Insurance (if applicable):
YYYY dash MM dash DD
For how many years in total have you been insured without interruption?*
For how many years have you been insured with this insurer?
Have you ever gone bankrupt?
In order to establish the best premium and conditions possible, will you allow a verification of your credit report? This will not affect your file.*
Are you released?
Have you or do you live with a person with a criminal record over the past 10 years?
If yes, explain why:
THE DRIVERS
Number of drivers:*
DRIVER #1
Are the drivers to be insured all owners?
First Name:
Last Name:
Date of birth:
YYYY dash MM dash DD
Driver's license number:
Gender:
Civil status:
Degree obtained:
Employment:
Employer:
Type of license:
Did you take a driving course?
At what age did you get your driver's license in the province?
Has this driver’s license ever been suspended, canceled, or revoked in the last 6 years?
If yes, explain why:
In the last 3 years, how many tickets other than parking tickets has this driver received?
If yes, detail the contraventions:
How many years have the driver been insured as a main driver on a continuous basis?
Has this driver’s insurance policy been terminated/refused/canceled in the last 3 years?
If yes, describe the reason (s):
In the last 6 years, how many claims has this driver filed (also specify unreported accidents?)
Detail the claims:
DRIVER #2
First Name of the 2nd driver
Last Name of the 2nd driver
Date of birth:
YYYY dash MM dash DD
Driver's license number:
Gender:
Civil status:
Degree obtained:
Employment:
Employer:
Type of license:
Did you take a driving course?
At what age did you get your driver's license in the province?
Has this driver’s license ever been suspended, canceled, or revoked in the last 6 years?
If yes, explain why:
In the last 3 years, how many tickets other than parking tickets has this driver received?
If yes, detail the contraventions:
How many years have the driver been insured as a main driver on a continuous basis?
Has this driver’s insurance policy been terminated/refused/canceled in the last 3 years?
If yes, describe the reason (s):
In the last 6 years, how many claims has this driver filed (also specify unreported accidents?)
Detail the claims:
DRIVER #3
First Name of the 3rd driver
Last Name of the 3rd driver
Date of birth:
YYYY dash MM dash DD
Driver's license number:
Gender:
Civil status:
Degree obtained:
Employment:
Employer:
Type of license:
Did you take a driving course?
At what age did you get your driver's license in the province?
Has this driver’s license ever been suspended, canceled, or revoked in the last 6 years?
If yes, explain why:
In the last 3 years, how many tickets other than parking tickets has this driver received?
If yes, detail the tickets:
How many years have the driver been insured as a main driver on a continuous basis?
Has this driver’s insurance policy been terminated/refused/canceled in the last 3 years?
If yes, describe the reason (s):
In the last 6 years, how many claims has this driver filed (also specify unreported accidents?)
Detail the claims:
VEHICLE
Number of vehicles:*
VEHICLE #1
Vehicle brand:
Model:
Vehicle #1 serial number:
Year of manufacture:
Vehicle #1 purchase date:*
YYYY dash MM dash DD
Purchase price/approximate value:
Name of the main driver:
Name of occasional driver(s):
Name of the young/student driver:
Date of possession of the vehicle:
MM slash DD slash YYYY
Condition of the vehicle at the time of possession:
Creditor of the vehicle:
If applicable, who is the creditor
Is the vehicle rented?
If applicable, who is the landlord:
Main Purpose of the vehicle:
Number of km traveled annually:*
Number of Km to get to work or school:
Number of Km for business annually (if applicable):
Has it been rebuilt following a major accident?
Has this vehicle been uninsured for more than 10 days and have insurers refused to insure it?
Anti starter:
Tracking system:
Sound alarm:
Chiselling
Steering wheel lock:
THE VEHICLE #2
Vehicle #2 brand:
Model:
Vehicle #2 serial number:
Year of manufacture:
Vehicle #2 purchase date:*
YYYY dash MM dash DD
Purchase price/approximate value:
Name of the main driver:
Name of occasional driver(s):
Name of the young/student driver:
Date of possession of the vehicle:
YYYY dash MM dash DD
Condition of the vehicle at the time of possession:
Creditor of the vehicle:
If applicable who is the creditor:
Is the vehicle rented?
If applicable, who is the landlord:
Main Purpose of the vehicle:
Number of km traveled annually:
Number of Km to get to work or school:
Number of Km for business annually (if applicable):
Has it been rebuilt following a major accident?
Has this vehicle been uninsured for more than 10 days and have insurers refused to insure it?
Anti starter:
Tracking system:
Sound alarm:
Chiselling
Steering wheel lock:
THE VEHICLE #3
Vehicle #3 brand:
Model:
Vehicle #3 serial number:
Year of manufacture:
Vehicle #3 purchase date:*
YYYY dash MM dash DD
Purchase price/approximate value:
Name of the main driver:
Name of occasional driver(s):
Name of the young/student driver:
Date of possession of the vehicle:
MM slash DD slash YYYY
Condition of the vehicle at the time of possession:
Creditor of the vehicle:
If applicable who is the creditor:
Is the vehicle rented?
If applicable who is the landlord:
Main Purpose of the vehicle:
Number of km traveled annually:
Number of Km to get to work or school:
Number of Km for business annually (if applicable):
Has it been rebuilt following a major accident?
Has this vehicle been uninsured for more than 10 days and have insurers refused to insure it?
Anti starter:
Tracking system:
Sound alarm:
Chiselling
Steering wheel lock:
GUARANTEES
THE VEHICLE #1
Civil Liability:
Deductible for risks of collision and reversal (it is in case of a responsible accident):
Deductible for all risks except collision and rollover (in case of fire, theft, vandalism, broken windows, such as if you hit a deer, or a tree falls on the car, or all that does not fall under responsible accident)
#2: Driving non-designated vehicles
#20A: Travel Expenses (Extended Form) (Chapter B)
#27: Liability for Damage to Vehicles Not Designated by the Named Insured (Including Vehicles Provided by an Employer) (Chapter A)
#34: Life and health insurance: Death benefits - dismemberment
#43E: Compensation according to the replacement value of the vehicle
#33: Insurance for troubleshooting expenses
THE VEHICLE #2
Civil Liability:
Deductible for risks of collision and reversal (it is in case of a responsible accident):
Deductible for all risks except collision and rollover (in case of fire, theft, vandalism, broken windows, such as if you hit a deer, or a tree falls on the car, or all that does not fall under responsible accident)
#2: Driving non-designated vehicles
#20A: Travel Expenses (Extended Form) (Chapter B)
#27: Liability for Damage to Vehicles Not Designated by the Named Insured (Including Vehicles Provided by an Employer) (Chapter A)
#34: Life and health insurance: Death benefits - dismemberment
#43E: Compensation according to the replacement value of the vehicle
#33: Insurance for troubleshooting expenses
THE VEHICLE #3
Civil Liability:
Deductible for risks of collision and reversal (it is in case of a responsible accident):
Deductible for all risks except collision and rollover (in case of fire, theft, vandalism, broken windows, such as if you hit a deer, or a tree falls on the car, or all that does not fall under responsible accident)
#2: Driving non-designated vehicles
#20A: Travel Expenses (Extended Form) (Chapter B)
#27: Liability for Damage to Vehicles Not Designated by the Named Insured (Including Vehicles Provided by an Employer) (Chapter A)
#34: Life and health insurance: Death benefits - dismemberment
#43E: Compensation according to the replacement value of the vehicle
#33: Insurance for troubleshooting expenses
ADDITIONAL NOTES:
#34: Will you apply for 3 Home Insurance Quotes on compareinsurancesonline.ca today?*
- YES
- NO
Terms*
- By clicking Obtain my 3 Quotes I consent to my information being sent to insurers for the purpose of obtaining a quote.
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THE BEST WAY TO SAVE ON YOUR DAMAGE INSURANCE IS BY SHOPPING AROUND WITH THE HELP OF A PROFESSIONAL

"*" indicates required fields

Unique IDA

Unique IDB

First Name*

Last Name*

Phone Number*

Email*

Complete Address*

Insurance Type(s)*

Date of birth*

Current Insurer*

Renewal Date*

Have you or anyone living under your roof had a criminal record in the last 10 years?*

Has your insurance policy already been canceled or refused in the last 3 years?*

Have you ever gone bankrupt?*

You are:*

Add more details

Terms and conditions*

Hidden

Number of Months

Hidden

AUTO

Hidden

Year of manufacture:

Hidden

Home

Hidden

Condo

Hidden

Tenant

Hidden

Car

Hidden

Commercial

Hidden

Vie

Hidden

insucar

Hidden

insuhome

Hidden

insubusiness

Hidden

insuboat

Hidden

insurv

Hidden

URL2

Hidden

Taboola

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Facebook

Hidden

Bing

Hidden

Adword

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Oubrain

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Anglos

By clicking on this button, you accept the Terms and Conditions

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SECTORS SERVED

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The Top 12 Home Insurance Companies in Canada Soumissions Assurances

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OWNER #1

OWNER #2

Information

THE DRIVERS

DRIVER #1

DRIVER #2

DRIVER #3

VEHICLE

VEHICLE #1

THE VEHICLE #2

THE VEHICLE #3

GUARANTEES

THE VEHICLE #1

THE VEHICLE #2

THE VEHICLE #3

Save time and money!

THE BEST WAY TO SAVE ON YOUR DAMAGE INSURANCE IS BY SHOPPING AROUND WITH THE HELP OF A PROFESSIONAL

TYPES OF HOME INSURANCE OFFERED

SECTORS SERVED

CALL US TO REQUEST YOUR QUOTES OR FOR MORE DETAILS

About Compare Insurances Online

Publications & Consulting