Auto Self Service | OTIP RAEO

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Policy Holder Information

Policy Number

* Name of Policy Holder(s)

Affiliate

* Email

* Phone

* Type of Phone

* Current Street

* Current City

* Current Postal Code

New Condo Information

* I would like to:

* Ownership Type:

* Who will be the registered owner(s)?

* New Street

* New City

* New Postal Code

* Building Type

* Year Built

New Condo Information Continued

* Electric Panel:

* Square Footage

* Foundation Type

* Number of Stories

* Exterior wall construction material

* Is the home under construction?

* Distance from nearest fire hydrant

* Distance from nearest fire hall

* Roof covering material

* Year the roof was installed

* Plumbing type

* Year the plumbing was last updated

* Wiring type

* Year the wiring was last updated

* Amperage?

* Breaker Panels

* Primary heating source

Secondary heating source

* Number of bathrooms

* Number of kitchens

* Do you have a garage?

* Do you have a swimming pool?

* Do you have a basement?

Percentage of basement that's finished

* Do you have a mainline water valve?

* Do you have a sump pump?

* Monitored fire alarm?

* Burglar alarm?

* Will any business be conducted from the home?

* Will the home be rented to others?

* In your condo contract, what is the definition of a standard unit?

* Name of mortgage company:

* Address of mortgage company:

For confirmation of insurance letter please provider your Lawyers information:

* Lawyers name:

* Lawyers email address:

If there is any additional information you would like to add, please describe below.

Optional Coverages

Sewer backup

Overland water

Service Line Coverage (Subject to carrier availability)

First claim protector (Subject to carrier availability)

Disappearing deductible (Subject to carrier availability)

Identity theft coverage (Subject to carrier availability)

Watercraft, boats and motors

Personal Floater (ie. Jewelry, high value personal effects)

Contents Coverage

Contents Coverage (personal belongings)

Auto Insurance

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