247 Av. Dunbar, Suite 202, Mont-Royal, QC, H3P 2H4
info@rkassurance.ca
514-360-4420
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Home
Insurance
Auto
Home
Commercial
Claims
About us
Contact us
Modifications
Get a Quote
Home
Insurance
Auto
Home
Commercial
Claims
About us
Contact us
Modifications
Home
Insurance
Auto
Home
Commercial
Claims
About us
Contact us
Modifications
Assurena Insurance Agency is an independent insurance brokerage agency that carries some of the best coverage options in the entire New USA.
Our Contacts
88 Centre Street North,
Toronto L4W 1C9
advisor@assurena.com admin@assurena.com
+1 (419)-507-0468
+1 (213)-345-0468
Working Hours
Monday
9.00 - 5.00
Tuesday
8.00 - 5.00
Wednesday
8.00 - 5.00
Thursday
8.00 - 5.00
Friday
8.00 - 4.00
Satureday
Closed
Sunday
Closed
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VIN/Serial Number
is there an anti-theft device
*
TAG/Domino
Sherlock
None
Ex: TAG or Domino Tracking
Primary usage of the car
*
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Commuting to school
Pleasure
Where is the car parked at night?
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Street
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Canadians drive 20km per day on average
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6-10 000KM
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16-20 000KM
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Canadians drive 15-20,000km per year on average
Are there any other vehicles to insure?
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Month
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Year
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2110
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2108
2107
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2105
2104
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2100
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1963
1962
1961
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1959
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1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
When was the vehicle transferred into your name?
VIN/Serial Number
is there an anti-theft device
*
TAG/Domino
Sherlock
None
Ex: TAG or Domino Tracking
Primary usage of the car
*
Commuting to work
Commuting to school
Pleasure
Where is the car parked at night?
*
Select
Driveway
Street
Private Garage
Condo Parking
Distance one way
*
Select
Not used for school or work
0-5KM
6KM-15KM
16KM-25KM
26+KM
Canadians drive 20km per day on average
Average kilometers driven per year
*
Select
0-5000KM
6-10 000KM
11-15 000KM
16-20 000KM
20 000KM+
Canadians drive 15-20,000km per year on average
Driver Information
Name of the registered owner/first driver
First Name
*
Last name
*
Date of birth
*
Phone
*
0 / 10
Email Address
*
Are you the registered owner of the car?
*
Yes
No
Where are the vehicles parked?
Street Address
*
Apartment, suite, etc
City
*
Postal Code
*
How long have you been living at this address?
*
Experience
Driving & insurance experience
Please enter your driver's license number
Enter your license to confirm your premium
At what age did you obtain your Quebec driver's license?
*
Do you currently have a car insurance? If yes, for how long have you been continuously insured?
*
Select
I don't have insurance
1 year or less
2 years
3 years
4+ years
Are there any other drivers to add?
Yes
No
First Name
*
Last name
*
Date of birth
*
At what age did you obtain your Quebec driver's license?
*
Please enter your driver's license number (Second driver)
Enter your license to confirm your premium
What is your occupation?
*
0 / 150
Name of employer?
*
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Name of School
*
0 / 150
Who are you currently insured with?
*
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TD Insurance
Beneva
Intact
Desjardins
Allstate
Other
How much do you currently pay per month or year?
Policy start date
*
When do you need the policy to start?
Eligible Discounts
Provide the information to get an accurate quote, if you have it on hand.
Lets find out if youâre eligible for any discounts
*
University Degree Completed
Working full-time
Married
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Student
None
Please select everything that describes you
What is your occupation?
*
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Name of employer
*
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Name of School
*
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Have you gotten any tickets in the past three years? (Excluding parking tickets)
*
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Yes
No
Tell us what happened
*
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Speeding ticket
Stop sign/Red light ticket
Cell phone
Other
When did it happen?
*
Do you have any accidents or claims in the past 6 years?
*
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Yes
No
Tell us what happened
*
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Responsible collision
Non-responsible collision
Fire
Glass
Vandalism
When did it happen?
*
Do you authorize the insurer to verify your claims and credit history? There is no impact on your credit history it is only a soft check.
*
Yes, I authorize the insurer to verify my claims and credit history.
Additional Information
Please provide the following answers in order to get you the most accurate quote
Has the vehicle been financed or leased?
*
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Financed
Leased
Neither
Qualification
Do you have a criminal record?
*
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Yes
No
Have you declared bankruptcy in the past 5 years?
*
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Yes
No
Have you ever been cancelled or non-renewed by an insurance company in the last 3 years?
*
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Yes
No
Do you use the vehicle for any commercial activity such as Uber, Uber Eats or Skip The Dishes?
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Yes
No
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