905-574-7000 x222 kylem@acumeninsurance.com 835 Paramount Drive Suite 301 Hamilton, ON L8J 0B4

Student Rental Insurance Application

PLEASE NOTE: COMPLETION OF THIS APPLICATION IS FOR QUOTATION PURPOSES ONLY AND DOES NOT PLACE COVERAGE IN FORCE




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Property Information

Occupancy:




Construction:









Utilities - Heat:







Utilities - Electrical




Utilities - Plumbing





Protection:



Housekeeping

Overall Condition

Supervision: