Renters Quote | Jaikar Insurance Services

1 Rental Address & Type?

Full Address, Apt #, City, ZIP

Type

Apartment Condo House Room Rental

2 Landlord / Lease Requirement?

Does lease require Renters Insurance?

Yes No

Liability Required

$100k $300k

Landlord Name / Email to add as Additional Interest

3 Personal Property Value?

How much coverage for belongings?

Approx value of furniture, electronics, clothes

4 High-Value Items?

Jewelry, Watches, Designer Bags, Guns, Instruments, Expensive Bike over $1k?

Yes No

List & Value

5 Deductible & Liability?

Deductible

$500 $1000

Liability Limit

$100k $300k $500k

6 Safety Features?

Features

Gated Entry Alarm Smoke Detectors Fire Extinguisher Deadbolts

What floor?

1st 2nd 3rd+

7 Dogs / Pets?

Any Dogs?

Yes No

Breed

Any Bite History?

Yes No

Pit, Rott, etc. restricted in CA

8 Roommates & Claims History

Live Alone or With Roommates?

Alone Roommates

Any Renters / Home Claims Last 3 Years?

Yes No

Any Prior Cancellation?

Yes No

9 Auto Bundle Discount (Save 10–15%)

Do you have Auto Insurance?

Yes No

Current Auto Company & Premium

10 When Do You Need It? Contact

Move-in / Effective Date Needed

Need COI Today for Lease?

Yes No

Name (Required) Phone (Required)

Email (Required)