W
elcome
to Holman Insurance Brokers on-line Personal Valuables Insurance quick quote page. Please ensure you complete the form as accurately as possible in order to ensure the best possible estimate. If you would rather speak to one of our sales representatives, please call us at (905) 886-5630 or 1-800-567-1279.

Completion of this form is for informational purposes only, and is just an estimate.
This WILL NOT result in a new policy, or change to an existing policy.


Contact Information
First Name *
Last Name*
Address*
Phone*
City*
Phone 2
Province*
E-Mail*
Postal Code*
Contact Method
Phone Email
Insurance Information
Are you presently insured? If yes, what company?* (enter "none" if answer is no)
Policy Number* (enter "none" if you do not have a policy number)
Expiry Date
What is your current annual premium?
$
Why are you looking for a new insurer or broker?
Coverage Information
Please estimate the calue of the items you want to insure:
Antiques
$
Musical Instruments
$
Autographs / Manuscripts
$
Ornaments
$
Books
$
Paper Collectibles
$
Bottles / Glass / Crystal
$
Postcards
$
Ceramics / China
$
Posters
$
Clothing / Textiles
$
Prints
$
Comics
$
Records / CD's
$
Currency
$
Sports Memorabilia
$
Dolls
$
Stamps / Postal History
$
Furs
$
Stock / Bond Certificates
$
Guns / Firearms
$
Toys
$
Jewellery
$
Trading Cards
$
Knives / Edged Weapons
$
Wine
$
Limited Edition Collectibles
$
Other
$
Military Memorabilia
$
Other
$
Model Trains / Cars
$
Other
$
Movie / TV Memorabilia
$
Other
$
Claims History (Please provide as much information as possible for any past claims)
Claim
Date of Claim
Claim Payout ($)
Details of Claim
1
2
3
Additional Comments



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Thank You

Thank you for trusting Holman Insurance Brokers Ltd. for your insurance needs, one of our representatives will contact you soon with your quote!




Personal Valuables Quote