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? Yes No Previous Address Do you currently have renter’s insurance? Yes No Have you had any home/renter's claims before? Yes No Describe Claim IndividuallyDate of ClaimClaim AmountDescription of Claim Did you ever have homeowner insurance? Yes No Have you had any home/renter's claims before? Yes No Describe 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? Yes No List 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
