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Get a No-Obligation Quote on Auto & Property Insurance

To receive a no-obligation automobile or property insurance quote kindly complete the appropriate form below, making sure to provide a phone number where one of our registered brokers can contact you.


A representative of Spriggs Insurance Brokers Limited will contact you with your quote, usually by the next business day.

Auto Insurance Eform

Thank you for taking the time to submit your quote request. A broker will contact you with a quote by the next business day.

Personal Information

First Name:*

Last Name:*

Email:*

Address:*

City:*

Province (*Ontario Residents Only):

Postal Code:*

Home Phone:*

Work Phone:

Ext.:

Do you currently have a policy with Spriggs Insurance Brokers Limited?*

Select an option

Do you currently have automobile insurance?*

Select an option

If yes, expiry date of existing policy:

Number of years of consecutive insurance:*

Have you ever had your automobile insurance cancelled or refused?*

Select an option

Do you currently have property insurance?*

Select an option

Vehicle Information - Vehicle #1

Year:

Make:

Model:

Style:

Annual Kilometres:

Primary Driver:

Use:

Liability Limit:

Collision Deductible:

Comprehensive Deductible:

Loss of Use Coverage:

Select an option

Waiver of Depreciation:

Select an option

Vehicle Information - Vehicle #2

Year:

Make:

Model:

Style:

Annual Kilometres:

Primary Driver:

Use:

Liability Limit:

Collision Deductible:

Comprehensive Deductible:

Loss of Use Coverage:

Select an option

Waiver of Depreciation:

Select an option

Comments:

Thank you! Your message has been successfully sent. We will contact you very soon!

Property Insurance Eform

Thank you for taking the time to submit your quote request. A broker will contact you with a quote by the next business day.


Personal Information

First Name:*

Last Name:*

Address:*

City:*

Province: (*Ontario Residents Only)

Postal Code:*

Home Phone:*

Work Phone:

Ext.:

E-mail:*

Do you currently have a policy with Spriggs Insurance Brokers Limited?*

Select an option

Date of Birth of Homeowner:*

Have you ever been refused for property insurance?*

Select an option

Do you currently have automobile insurance?*

Select an option

Property Information

Type of home:*

Heat:

Electricity:

Plumbing:

Roof:

Year Home Built:*

Alarm System:*

If you have an alarm is it:

Is your property located:*

Coverages

Building Amount:*

Liability Amount:

Deductible Amount:

Comments

Thank you! Your message has been successfully sent. We will contact you very soon!

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