Assurance habitation

In order to receive your home insurance quote quickly, complete the following forms making sure to fill in all the boxes pertaining to your situation.

To send, click on the button: Send form

Disposing of all the information, we will be able to offer you all the rebates you might qualify for and find the product that best answers your needs.

INSURED
  Email adress
  Last name
  First name
  Adress (no. street)
  City
  Code postal
  Post office box
  Employment
  Employer
  Since
  Your Email


YOUR HOUSE
  Use of building
  No. of apartements in building
  If owner, value of building $
  if tenant, value of furniture clothes and other belongings $

  Available protection systems

Local alarm system
Alarm system (fire)
Alarm system (theft)
Hydrant less than 300 m
Firehouse less than 8 km
Firehouse more than 8 km

  Heating

Central
Électrical
  If auxiliary heating, What is the combustible?
  Is there a wood stove? Yes No
  Have you a 2100 chimney? Yes No
     

  Year building was built?

  If building is more than 25 years old, indicate renovation dates for :
  
Roof 
  
Electricity 
  
Heating 
  
Plumbing 

  Is there a business/company, what type?

  Structure of building Frame/exterior covering Fire resistant
Wood / Brick
Wood / Vinyl
Wood / Other


PREVIOUS INSURER
  



PREVIOUS DAMAGES
  (Claims in the last 5 years)
  Date Nature of claim Amount claimed
   $
   $
   $



COMENTARIES & QUESTIONS
  

If you wish to contact us directly, don’t hesitate to call or write.

Telephone: (418) 654-2933
Fax: (418) 654-1244
E-mail: info@aspro.qc.ca