Rental Insurance Form | Munn Insurance

Name*

Phone*

Email*

Address*

Is the property owner occupied, rented to others, vacant, seasonal or under construction?*

If rented,*

Is this a short term rental (i,e, Airbnb, VRBO)

Is it rented to students

Is it a single family rental

Number of self-contained units in property?*

1

2

3+

Age of building*

Built before 1971

Built after 1971

Electrical Year Update*

Plumbing Year Update*

Heating Year Update*

Square Footage of property?*

Number of stories for the property?*

1

2

3+

Is the basement finished, unfinished, partial finished, or crawlspace?*

Is the property detached, semi-detached, or row house?*

Does the property have a concrete foundation?*

Yes

No

Is the electrical services fuses or breakers?*

Fuses

Breakers

Are the roof/shingles over 25 years old?*

Yes

No

Is the Plumbing PEX/ABS/Plastic/Copper or other*

What is the primary source of heating in the property?*

Age of Oil Tank*

Is the wood stove WETT certified?*

Yes

No

Additional types of heating?*

Is the property within 1000 feet of a fire hydrant?*

Yes

No

Is the property within 8 kms of a fire hall*

Yes

No

How many claims or losses in the last 3 years?*

0

1

2

3+

Any previous cancellations for non-payment on property insurance in the last 3 years?*

Yes

No

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