Renter’s Insurance Quote Step 1 of 5 20% Name*Date of BirthDDMMYYYY Email* Phone* List Additional Renter(s) to be insured (Spouse, Domestic Partners etc...)NameBirthdayRelationship to you Address of the apartment you are rentingHave you lived here for more than 3 years?YesNoPrevious Address Do you currently have renter’s insurance?YesNoHave you had any home/renter's claims before?YesNoDescribe Claim IndividuallyDate of ClaimClaim AmountDescription of Claim Did you ever have homeowner insurance?YesNoHave you had any home/renter's claims before?YesNoDescribe Claim IndividuallyDate of ClaimClaim AmountDescription of Claim If you had to replace everything you own today, how much money would you need?( Electronics, Furniture, Clothing, Equipment, Jewelry, Kitchen accessories, Engagement ring, Wine Collection, Vintage Arts, Luxury Watches, etc...)Does above include any one or more items worth over $3000?YesNoList each item worth over $3000 individuallyType of itemWorth/Cost to replace When do you need the insurance to start?DDMMYYYY Any special concerns or questions? Please ask here
