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Type of risk
Habitational
Recreational Vehicle/Motorhome
Motorcycle
Manufactured Home
Commercial
Insured name
First name
Last name
Your contact information
Phone
Email
*
First name
Last name
Brokerage name
Please enter the name of the Brokerage this policy was placed with
Policy number
Type of Loss
Water
Theft
Fire
Hail
Wind
Snow/Ice
Liability
Impact
Animal
Crime
Collapse
Falling object
Power surge
Mechanical breakdown
Vandalism
Other
Description of loss
Please enter a description of the loss, include police file number if applicable.
Location of loss
Street Address
Address Line 2
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Please enter the location of where the loss occurred
Date of loss
MM slash DD slash YYYY
When did the loss occur?
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Products
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About
Partner with Agile
Appetite Guide
News & Highlights
Join our team
Products
Applications
Claims
About
Partner with Agile
Appetite Guide
News & Highlights
Join our team
Find an Application
Contact
Portal Product Login
Contact
Portal Product Login