Getting a quote on-line is easy! Simply fill out the form below and click on submit. If you would prefer to speak with a registered insurance broker, call 1 866 473 9650.

1) Contact Information

Name:	*
Street address:
City:
Province:
Postal Code:
Home Phone:	*
Work Phone:	*
Fax:
E-mail:	*
Date of Birth:	(YYYY-MM-DD)

2) Property Information

When does your existing policy expire?	(YYYY-MM-DD)
Number of claims in past 3 years on any property policy:
Do you have an existing automobile insurance policy with Grey Power?
If yes - Grey Power policy #:
Type of dwelling:
Square footage of home: (not including basement)	Sq. Ft.
Number of stories:
Year built:
Type of foundation:
Exterior finish:	% Aluminium Siding % Vinyl Siding % Brick Vaneer % Solid Brick
Interior finish:	% Drywall % Plaster % Tongue and Groove % Panelling
Type of flooring:	% Wood % Carpet % Vinyl % Tile
Square footage of finished basement:	Sq. Ft.
Do you have a basement apartment:
Is it a walk out basement:
Number of bathrooms:	Full Bathrooms Half Bathrooms Ensuites
Do you have a porch:	Sq. Ft.
Do you have a deck:	Sq. Ft.
Do you have a fireplace:
If you chose gas, is it
Do you have central air conditioning?
Do you have a woodstove:
Where is your chimney located?
Select the option that best describes your garage:
Do you have a swimming pool:
Type of swimming pool:
Pool construction:
Pool surface area square footage:	Sq. Ft.
Additional buildings on property:
Primary Heating Source:
If you use Oil Heat Location of Oil Tank:
Age of Oil Tank:	Years Old
Years since last maintenance or replacement of heating source:
Security System:
Electrical System:
Plumbing System:
What type of roof covering:
Year roof last updated:	(YYYY)
Location of fire protection:
Is there a mortgage on your home?
Please check all that apply to your property:	Central Vacuum Skylights Intercom System Jetted Bathtub Jacuzzi or Hot Tub Extra Kitchen
Do you have any scheduled items on your existing policy? (i.e. jewelry, fine arts, furs etc.)
Is there a business conducted from your home:
Do you own any other properties?
If there is any additional information you feel would be pertinent to your insurance quotation, please explain below