Type of Property*

How many units are in Apartment (if apartment is checked)?

How many townhouses in strip (if townhouse is checked)?

Are there any of the following?

Dollar amount of personal property (minimum of $15,000): *

Liability (minimum of $100,000): *

Do you have a current renter’s policy?

Does anyone in the household smoke?

Do you have any dogs?

How many dogs?

What are the breed(s)?

Is there a swimming pool?

Is there a trampoline?