Request a quote "*" indicates required fields HiddenGclid What would you like a quote for?* Personal insurance Business insurance What product(s) are you interested in?* Auto House Townhome Mobile Home Condo Tenant Seasonal Home Home being Built Contents in Storage Motorcycle RV Travel Marine and boat Province*Choose your ProvinceAlbertaBritish ColumbiaNew BrunswickNewfoundland and LabradorManitobaNova ScotiaOntarioPrince Edward IslandSaskatchewanWhich of the following best describes your situation?* I own the home I rent the home I own and rent out the entire home I own and rent out a portion of the home It's vacant Sorry, we can’t complete your quote online. Call us at 778-545-2206 during business hours to speak with an advisor about your options or email us at [email protected] My rental periods are:* Short term Long term Sorry, we can’t complete your quote online. Call us at 778-545-2206 during business hours to speak with an advisor about your options or email us at [email protected] Please complete the questions below to help expedite your request and connect you with a Westland Advisor best suited to help you.Do you currently have Home or Business Insurance with Westland?* Yes No Do you know your policy number? (optional) Do you currently have business insurance?* Yes No Renewal Date (optional) YYYY slash MM slash DD What industry are you in?* Business & Professional Services Construction & Contracting Education Faith Based Organization Farm & Agriculture Forestry Healthcare Hospitality Manufacturing Not for Profit Oil & Gas Real Estate/Building Owner Recreation Retail/Wholesale Social Services Transportation & Logistics Wineries Welding Other Describe your business* Your contact informationClient's informationHiddenClient reference number First name* Last name* Company* Phone*Email* Address* Street Address Address Line 2 City ZIP / Postal Code Renewal Date (Optional) MM slash DD slash YYYY HiddenAB AutoWhen do you need the coverage?* MM slash DD slash YYYY Legal Name* Date of birth* MM slash DD slash YYYY Date licensed in Canada or US (month and year)* Any other licensed drivers in the home?Date of birthLicense numberLicensed date Add RemoveAny minor traffic convictions in the past 3 years?* Yes No Any major/criminal code convictions in the past 6 years?* Yes No Please provide details*Any license suspensions?* Yes No Any comprehensive claims past 6 years? (Fire, theft, Vandalism, Animal Collision, Windstorm, Hail)* Yes No Any not at fault accidents past 6 years?* Yes No Please provide month and year* Any at fault accidents past 10 years?* Yes No Please provide month and year* Are you currently insured?* Yes No Your current insurance company* How long since last insured?* How long have you been continuously insured? Ever been cancelled for non-payment?* Yes No Do you commute to work?* Yes No How many km one way?*Is the vehicle used for work or business?* Yes No How many km one way?*Vehicle information*MakeModelVINCoverage requested*Deductibles requested*HiddenBC ResOn the start date of your insurance, will this be your primary residence?* Yes No Address of home to be insured* Street Address Address Line 2 City ZIP / Postal Code What’s your occupation?* What’s your employer?* Are you a member of a company, association or group that has a Westland MyGroup program? Yes No Your Group*Choose your groupAARA - Alberta Allied Roofing AssociationAirlineARLA - Alberta Residential Landlord AssociationAtlantic Drag Racers AssociationAurora Chamber of CommerceAutomotive Trades AssociationAxisBoardwalk Rental CommunitiesBridgestone/FirestoneCampground Owners Association of NSCanadian Association of WomenCFAA - Canadian Federation of Apartment AssociationsChoice$City of VancouverCollision Repair Association of NSCommissionaires Nova ScotiaCoreio Inc.CRRA - Calgary Residential Rental AssociationCUPECWA – Nova ScotiaCWB Group – AlbertaDND Civilian EmployeesEOLO - Eastern Ontario Landlord AssociationExactDeposit RealtorsFarm BoyFirst West Credit UnionFlamborough ChamberFRPO - Federation of Rental-Housing Providers of OntarioGeneric – QuebecGerrie Electric Wholesale LimitedGTAA - Greater Toronto Apartment AssociationHDAA - Hamilton & District Apartment AssociationHundseth Power LineInnkeepers Guild of NSInspirational Lifestyles Inc.Invacare Canada Inc.IPOANS - Investment Property Owners Association of NSJVS TorontoLearning Enrichment FoundationLondon Property Managers AssociationLPMA - London Property Managers AssociationMaple Leaf Foods Inc.Maritime TravelMcKesson CanadaMerick Contractors Inc.Merit Travel Group Inc.MHPOABC - Manufactured Home Park Owners Alliance of BCMichelinMontridge Advisory Group LtdNAITNFP CanadaNorthern PulpNorthern Reflections Ltd.NPF employeesPepsiCo CanadaPPMA - Professional Property Managers' Associationpt Health / InnoCare / HubioQuality Underwriting ServicesRC ProtectsREALTORSRegular Force members (Army, Navy, Airforce)Reserve Force membersRestaurant Association of Nova ScotiaRetail Gasoline Dealers Association of NSRetired CF members or DND employeesRodd HotelsSafewaySafeway Credit UnionServiceMASTER CanadaSkicousi Ski ClubSKLA - Saskatchewan Landlord AssociationSobeys Inc.Supplement KingSwiss Herbal Remedies LimitedSwissportSynnex CanadaSysco IcareThe Travel Agent Next DoorTIANB - Tourism Industry Association of New BrunswickTIANS - Tourism Industry Association of Nova ScotiaToronto Construction AssociationTravel Brands Inc.Varnex CanadaVillage on MainVision 2000 Travel Solutions Inc.We Care Dental GroupWestern Electrical Management Inc.WIS InternationalWRAMA - Waterloo Regional Apartment AssociationHiddenBC Res - detailDo you work from home?* Yes No Do you operate a business from this home?* Yes No Sorry, we can’t complete your quote online. Call us at 778-545-2206 during business hours to speak with an advisor about your options or email us at [email protected] Is your home currently being renovated? Yes No Is there a wood burning heating unit?* Yes No Is it your primary source of heat?* Yes No Sorry, we can’t complete your quote online. Call us at 778-545-2206 during business hours to speak with an advisor about your options or email us at [email protected] Discount SectionApplicant Information*Legal Name(s)Date(s) of Birth (dd/mm/yyyy) Add RemoveDoes this home have a mortgage?* Yes No Does this home have an alarm?* Yes No Monitored or local? Monitored Local Is this your first time insuring a home?* Yes No How long have you been continuously insured?* DD slash MM slash YYYY Have you had your insurance cancelled, declined, or been refused for renewal in the past 5 years?* Yes No Sorry, we can’t complete your quote online. Call us at 778-545-2206 during business hours to speak with an advisor about your options or email us at [email protected] Have you submitted a loss or claim on any property in the past 5 years?* Yes No Sorry, we can’t complete your quote online. Call us at 778-545-2206 during business hours to speak with an advisor about your options or email us at [email protected] HiddenBusiness InsuranceLimit of Liability Required*$1,000,000$2,000,000$5,000,000Description of Operations*Have you had any losses or claims in the past 5 years?* Yes No Thank you for requesting a business insurance quote from Westland Commercial. Unfortunately, based on current eligibility requirements, market conditions, and quote request volumes, we will not be able to provide a quote at this time. Please provide the following information for each loss or claim in the past 5 years:*Date of loss or damageCause or origin of loss or damageTotal amount of claim $ Add RemoveHas any insurer cancelled or declined to renew your policy or refused to provide insurance?* Yes No Thank you for requesting a business insurance quote from Westland Commercial. Unfortunately, based on current eligibility requirements, market conditions, and quote request volumes, we will not be able to provide a quote at this time. Please provide the following if you have had a policy cancelled, non-renewed or you were refused insurance.*Date of cancellation, non-renewal, or refusalReason or circumstances for the cancellation, non-renewal, or refusal: Add RemoveWhat year was your business started?* Years of related experience in this business?*What are your forecasted total annual Gross Sales this year?*$100,000 or less$100,000 - $250,000More than $250,000Do you have any sales outside Canada?* Yes No If yes, what amount*Number of employees?* Estimated Payroll*Is your business operated from your Home or a Commercial premises?* Home Commercial premises Do you own or lease the building your business operates from?* Own Lease Consent I agreeSome insurance companies offer a discount based on a personal soft credit check. This may help you achieve their most competitive price. Important note: this check will not affect your credit score and the credit score will always remain confidential. If you consent, provide the information below for the Business Owner or Majority Shareholder;Please give consent to process your quoteThank you for requesting a business insurance quote from Westland Commercial. Based on the information submitted, the estimated premium will be a minimum of $1,000, subject to receiving additional information about your business, do you want to continue?* Yes Thank you for requesting a business insurance quote from Westland Commercial. Based on the information submitted, the estimated premium will be a minimum of $750, subject to receiving additional information about your business, do you want to continue?* Yes First Name* Last Name* Date of birth* MM slash DD slash YYYY Home Address* How long you’ve been at your home address (if less than one year, provide previous address)* Additional information (Optional)HiddenAB AutoConsentSome insurance companies offer a discount based on a personal soft credit check. This may help you achieve their most competitive price. Important note: this check will not affect your credit score and the credit score will always remain confidential. I agreeCan you give us any other information which can help us provide you the best quote possible (Optional)Westland AdvisorAdvisor's Name* Advisor's Email* Branch*selectFirst ChoiceSecond ChoiceThird ChoiceHead Office Department*selectCommercialOnline AutoSelect Client ServicesHiddenCAPTCHAIf you are interested in learning more about how Westland protects your personal information, please visit www.westlandinsurance.ca/privacy-policyNameThis field is for validation purposes and should be left unchanged.
