Home Insurance Quote Application

Fill out our quick form:

We only offer insurance services to residents of Ontario

Are you a resident of Ontario?:
Sorry, we only offer insurance services to residents of Ontario.

Personal Information

First Name / Applicant:
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Last Name:
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Address:
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E-mail:
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Date of Birth:
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Gender:
  • Select One
  • Male
  • Female
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Marital Status:
  • Select One
  • Single
  • Married
  • Common Law
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Phone Number:
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Dwelling Information

How much does your home cost?
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Years at current address:
  • Select One
  • <1 Year
  • 1-5 Years
  • 5-10 Years
  • 10+ Years
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Building Details

What year was your home built?
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Building type:
  • Select One
  • Single Family Home
  • Semi-detached
  • Row/Townhouse - end unit
  • Row/Townhouse - inner unit
  • Duplex - side by side
  • Duplex - up and down
  • Triplex
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Construction type:
  • Select One
  • Solid brick/masonry
  • Wood frame
  • Other
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Primary heating source:
  • Select One
  • Central Furnace - Gas
  • Central Furnace - Oil
  • Central Furnace - Propane
  • Central Furnace - Wood
  • Electric
  • Hot Water / Steam
  • Combination Furnace
  • Solid Fuel
  • Solar
  • Heat pump
  • Other
Field is required!
Burglar alarm
  • Select One
  • None
  • Local
  • Monitored
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Fire alarm
  • Select One
  • None
  • Local
  • Monitored
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Applicant Information

Number of claims:
  • Select One
  • 0
  • 1
  • 2
  • 3+
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Do you smoke in the home?
  • Select One
  • Yes
  • No
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All done!

Once you click submit, your dedicated representative will contact you as soon as possible.

You can receive either a quote online, you can call our office to speak to one of our Professional Brokers, or you can send us a request by fax or email to receive a quote or any information regarding insurance.For your convenience, we offer many different ways for you to receive a quote from us.

Tel. 705-268-9988

Toll Free 888-420-3333

Fax 705-268-4759

email:  insure@bmtinsurance.ca