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Assess the insurance application and come up with questions that you need to clarify with the applicant. Great Risk Insurance Ltd . APPLICATION FOR INSURANCE
Assess the insurance application and come up with questions that you need to clarify with the applicant. Great Risk Insurance Ltd
APPLICATION FOR INSURANCE
Applicant Name:
Dennis Dobson
Applicant's Address: Mayne Street, Scarborough
Applicant's Phone #:
Applicant's email address:
dd@email.ca
Insurance being applied for:
Automobile
Requested Effective Date: April
PROPERTY INSURANCE APPLICATION:
Address for insurance Same as applicant R specify:
What type of dwelling is this:
House
Apartment
Condominium
Amount of insurance requested for primary building Coverage : $ million
List all occupants of the property: me my spouse, our two twin children age
Is there a mortgage on the property:
If yes, indicate names of mortgagee: Scotia Bank
What year was the dwelling built?
What size approximate square footage is the dwelling? sq feet
Will you live in the dwelling?
Yes
No
Please identify anyone else who will live in the dwelling and their relationship to you: we have a tenant that lives in
the basement apartment
Is this home under construction or renovation?
Yes
No
Will this home be vacant for any time during the policy period?
Yes
Have you ever had insurance cancelled for nonpayment of insurance?
Yes
Have you had any property losses in the past years?
If yes, please provide details:
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