Online quote - Residential | Le Groupe Caron et Ménard ltée

Le Groupe Caron et Ménard ltée - Picture

Le Groupe Caron et Ménard will compare several insurance companies to obtain the best product for your specific needs in automobile, residential and commercial insurance at the best premium available.

In completing the fields below, we will be able to evaluate and call you within the next few days with our best quote possible.

The fields marked with an asterisk (*) are mandatory.

Branch : *

Situation : *

Present insurer :

Renewal date :

Name : *

Address : *

City : *

Province :

Quebec

Country :

Canada

Postal Code : *

Home phone :*

Business phone :

Email address : *

Homeowner Tenant Condo

Building category

Single Family Dwelling : *

Yes No

How many stories : *

Square footage (appox) :

Garage : *

Yes No

No. of apartments : *

Age of building : *

Heating : *

Commercial activity in building : *

Yes No

Exterior finish : *

Wood stove : *

Yes No

Finished Basement : *

Pool : *

Yes No

If so,

Alarm system : *

Yes No

Date of Birth : *

Employer /Occupation :

Smoker : *

Yes No

Owner since (year) : *

Renovations

(year)

Electricity :

Heating :

Roof :

Plumbing :

Mortgage : *

Notes / reference :

Coverage required

Building :

Dependencies :

Contents :

General Liability : *

Sewer back-up : *

Yes No

Any specific insurance required such as camera, lap-top, paintings, jewels ? *

Yes No

Do you have a dog ? *

Yes No

If so, what breed ?

Municipal services

Fire hydrant at less than 1000 feet : *	Yes No
Fire station less than 8 km : *	Yes No

Claims in the last 6 years

	Date	Amount	Responsibility
1
2
3

I/we authorize a credit verification for quote purposes which could reduce base premiums.

Authorization : *

Yes No