Welcome to Holman Insurance Brokers on-line Kidnap & Ransom 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
Company Name*
Contact First Name*
Address*
Contact Last Name*
City*
Phone*
Province*
Phone 2
Postal Code*
Fax
Web Site
E-Mail*
Please specify your preferred method of contact:
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?
Persons to be Insured
Name
Age
Details of Occupation
Coverage Information

Please provide the details of any kidnap attempts or threats against the applicant or any person to be insured:

Please provide details of anticipated travel outside the country of residence:

Are any of those to be insured exposed to kidnapping by any reason of their pursuits, business activities, etc.:
Do all persons to be insured lived at the above address?
Yes No
If no, where do they live?
Do any of the persons have annual earning exceeding $250,000 (Cdn)?
Yes No
Do any of the persons have assets exceeding $1,000,000
Yes No
Do any of the persons have assets exceeding $1,500,000
Yes No
Do any of the persons have assets exceeding $2,500,000
Yes No
Do any of the persons have assets exceeding $5,000,000
Yes No
Do any of the persons have assets exceeding $10,000,000
Yes No
What is the amount of Kidnap/Ransom coverage requested?
Are Kidnap accidental death and dismemberment benefits required?
Yes No
Are any of the above persons already protected by Kidnap/Ransom insurance?
Yes No

If yes, give details along with the limits and name of the insurance company:
What is your current annual premium?
$
Why are you looking for a new insurer or broker?
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!
Kidnap & Ransom Quote