Quotes | Keyes Insurance Brokerage, Nova Scotia

Auto Insurance Quote

For your personalised car insurance quotation please complete the form below or, for assistance, please call (902) 453-2273.

"*" indicates required fields

Name*

Phone*

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Marital status of principal driver*

Single

Married

Divorced

Widowed

Separated

Date of Birth of principal driver*

YYYY dash MM dash DD

License #

Number of years licensed in Canada for principal driver*

Gender of additional drivers under 25 years of age*

Male

Female

Other

Prefer not to say

Do driver(s) under 25 years of age have driver training certification?

Yes

Any at fault accidents in past 6 years?

Yes

Any driving convictions in past 3 years?*

Yes

Do you use your vehicle for business?

Yes

Do you use your vehicle to commute to and from work?*

Yes

Year, make and model of vehicle*

Liability limit requested*

What coverages would you like?*

All perils

Collision

Comprehensive

Specified perils

Deductible*

Additional vehicles to be quoted?*

Yes

How did you hear about us?*

Social Media

Google/Search Engine

Online Advertisement

Referral from a Friend or Family

Newsletter or Email Campaign

From Another Website

Print Media (newspaper, magazine)

Referrer's Full Name*

Home Insurance Quote (V2)

"*" indicates required fields

Name*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Date of Birth*

Year

Month

Day

Marital Status

Single

Married

Divorced

Widowed

Separated

Sq ft. of home excluding basement*

Year Built*

Is there an alarm system?

Yes

Mortgage

Yes

Is your home currently insured?

Yes

Property Insurance Since

YYYY dash MM dash DD

Any claims in the last 5 years?

Yes

Do you own your own home, own a condo unit or rent?*

Owned

Mortgaged

Rented

Other

Type of Heating*

Electric

Gas

Oil

Wood

Other

Age of roof*

Estimated replacement value of dwelling:*

Estimated replacement value of personal property:*

Liability amount requested*

Policy deductible preferred:*

How did you hear about us?*

Social Media

Google/Search Engine

Online Advertisement

Referral from a Friend or Family

Newsletter or Email Campaign

From Another Website

Print Media (newspaper, magazine)

Referrer's Full Name*

Commercial Insurance Quote

For your personalised car insurance quotation please complete the form below or, for assistance, please call (902) 453-2273.

"*" indicates required fields

Name*

Phone*

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Age of building*

Construction of building*

Is the building sprinklered?*

Yes

Name of Business*

How much area do you occupy?*

Are you the only tenant?*

Yes

Is there a hydrant within 500 ft. (150 metres)?*

Yes

Is there a fire hall within 3 miles (5 kms)?*

Yes

Has insurance ever been denied or canceled?*

Yes

What type of business?*

Year established?*

Please enter a number greater than or equal to 1800.

Number of employees?*

Does the business have Business Interruption Insurance?*

Yes

Deductible*

Liability limit requested*

Annual revenue?*

Any insurance claims in the last 5 years?*

Yes

What are the annual receipts?*

What is the annual payroll?*

How did you hear about us?*

Social Media

Google/Search Engine

Online Advertisement

Referral from a Friend or Family

Newsletter or Email Campaign

From Another Website

Print Media (newspaper, magazine)

Referrer's Full Name*

Boat Insurance Quote (V2)

For your personalised car insurance quotation please complete the form below or, for assistance, please call (902) 453-2273.

"*" indicates required fields

Name*

Phone*

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Date of Birth*

Year

Month

Day

Policy Effective Date*

Year

Month

Day

Liability Requested

Boat type*

Multihull Sailboat

Open Runabout

Cabin Cruiser

Ski Boat

Houseboat

Trawler

Personal Watercraft

Other

Amount of insurance on boat*

Boat Manufacturer*

Year built*

Overall Length*

in feet

Main Motor*

Inboard

Outboard

Inboard/Outboard

Jet Drive

Other

Construction*

Year of motor*

Type of motor*

Manufacturer

Horsepower*

Maximum speed of motor

Amount of insurance on motor

Twin engine*

Yes

Trailer*

Yes

Make and model of trailer*

Year of trailer*

Amount of insurance on trailer*

Years operated*

Years owned*

Courses & Level Completed

Loss details

Has any company ever cancelled or refused insurance of this description?*

Yes

How did you hear about us?*

Social Media

Google/Search Engine

Online Advertisement

Referral from a Friend or Family

Newsletter or Email Campaign

From Another Website

Print Media (newspaper, magazine)

Referrer's Full Name

Motorcycle Insurance Quote (V2)

For your personalised car insurance quotation please complete the form below or, for assistance, please call (902) 453-2273.

"*" indicates required fields

Name*

Phone*

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Date of Birth*

Year

Month

Day

License #

M License Date

Year

Month

Day

M1 License Date

Year

Month

Day

M2 License Date

Year

Month

Day

Did you take a riders training course?

Yes

Any tickets?

Yes

Any claims in last 6 years?*

Yes

What coverage are you looking for?*

All Perils

Collision

Comprehensive

Specified Perils

Liability Limit

Collision deductible amount*

Comprehensive deductible amount

Specified perils deductible amount*

Year, make and model:*

Value of bike*

Modified or customized?

Yes

Previous insurance company*

Do you belong to any Riders Associations or Clubs?*

Yes

How did you hear about us?*

Social Media

Google/Search Engine

Online Advertisement

Referral from a Friend or Family

Newsletter or Email Campaign

From Another Website

Print Media (newspaper, magazine)

Referrer's Full Name*

Tenant Insurance Quote

For your personalised car insurance quotation please complete the form below or, for assistance, please call (902) 453-2273.

"*" indicates required fields

Name*

Phone*

Email*

Address*

Street Address City Province Postal Code

Estimated replacement value of personal property Policy Deductible Preferred

Liability Amount Requested*

Have you had any personal property claimed in the past three years?*

Yes

How did you hear about us?*

Social Media

Google/Search Engine

Online Advertisement

Referral from a Friend or Family

Newsletter or Email Campaign

From Another Website

Print Media (newspaper, magazine)

Referrer's Full Name*

RV Insurance Quote

For your personalised car insurance quotation please complete the form below or, for assistance, please call (902) 453-2273.

"*" indicates required fields

Name*

Phone*

Email*

Address*

Street Address City Province Postal Code

Name of Principal Operator*

Date of Birth*

Month

Day

Year

Marital status

Married

Single

Name of Spouse*

Date of Birth*

Month

Day

Year

Number of child(ren) who are licensed drivers*

Child #1

Name of child*

Date of Birth*

Month

Day

Year

Number of years licensed for driver*

Child #2

Name of child

Date of Birth*

Month

Day

Year

Number of years licensed for driver*

Other Information

Any at fault accidents in the past 6 years?*

Yes

Any at fault accidents in the past 3 years?*

Yes

Value of RV*

Number of CC's

List Price New

No. of vehicles you wish to insure*

RV #1

Make*

Model*

Serial No.

RV #2

Make*

Model*

Serial No.

RV #3

Make*

Model*

Serial No.

Liability limit & Coverage

Liability limit requested

Coverage Preferred*

Deductible*

How did you hear about us?*

Social Media

Google/Search Engine

Online Advertisement

Referral from a Friend or Family

Newsletter or Email Campaign

From Another Website

Print Media (newspaper, magazine)

Other