W
elcome
to Holman Insurance Brokers on-line Homeowners 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.

* Required Fields

Contact Information
First Name*
Last Name*
Address*
City*
Province*
Postal Code*
Phone*
Phone 2
E-Mail*
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?
Property Information
Information
Primary Property
Secondary Property
Type
Area (square feet)
Year Built
Construction Type
Roof Type
Primary Heat
Deck
Pool
Basement
Garage
Fire Hydrant Protected
Alarm
Distance from Fire Hall (km)
Number of Smoke Detectors
Number of Deadbolts
Coverage Information
Coverage
Primary Property
Secondary Property
Building Amount
Contents Amount
Liability Amount
Deductible
Claims (Please list all claims in past 6 years.)
Claim
Date of Claim
Claim Payout ($)
Details of Claim
1
2
3
Additional Comments



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




Homeowners Quote