Quick Home QuoteHomeQuick Home QuoteHABITATION (#22) - sbinet@assurancia.caDébuterVéhiculePropriétaireCourrielAdresseDateQuestionConsentementStep 9⚠️ This service is reserved exclusively for residents of Quebec.What type of property do you want to insure? Owner Co-owner Tenant RentalPreviousNextHow many years have you been living at your current address?123456789101112131415More than 15 yearsPreviousNextWhat is the approximate value of your house?What is the approximate value of your content?PreviousNextFirst NameSurnamePreviousNextE-mailPhone/MobilePreviousNextAddressAddress Line 1TownProvinceZip codePreviousNextYour date of birth?When is your home insurance renewal?PreviousNextHave you had any cancellations of your insurance for non-payment in the last 6 years? Yes NoPreviousNextThe information collected in this section allows us, among other things, to pre-qualify for your insurance needs and potentially provide you with an insurance quote. The information provided is stored in order to meet legislative and regulatory requirements. In addition, by filling in the form, you consent to our use, communication or sharing internally and externally (in particular with partner firms and/or Assurancia firms and/or insurers) and that we retain this information. Yes I agree to receive personalized advice or occasional information about Assur360 Tek Inc.'s products and services by e-mail. You can withdraw your consent at any time. I agreePreviousEnvoyer Last updated: April 10, 2026
