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Information First Name * Email Address * Postal Code * Coverage Effective Date * Location Address * Location City * Location Postal Code * Name on Deed * Property Type High Rise Condo Townhouse Condo (not freehold) Detached Dwelling Year Building Built * Square Feet of Unit * Last Name * Phone * City * Preferred Method of Contact Email Phone Text Prior Insurance Prior Insurance Yes No Insurance Company * Policy # * Does Tenant have insurance on their contents? Does Tenant have insurance on their contents? Yes No If No it would be in your best interest to insist they have one. They should send you email acknowlegement that a policy is in place. Any insurance claims in past 5 years? Any insurance claims in past 5 years? Yes No Date of Loss Type of Claim Amount Paid Extra Information
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