Looking for affordable insurance quotes in Alberta or British Columbia?

HDF Insurance is happy to provide any of the following:

  • Auto insurance quote
  • Health insurance quote (group or family health insurance)
  • Home insurance quote
  • Life insurance quote
  • Disability insurance quote
  • Business insurance quote and more...

Let HDF Insurance introduce you to the advantages of working with a reputable insurance brokerage. Our experience and expertise will deliver the best policy at the best rate, backed by customer service that's second to none.

Please fill our all the required fields and submit to our office. We look forward to the opportunity to take care of all your insurance needs!

Click on the below Tab for the product(s) that you would like quoted.  The appropriate fields will then appear.

 

» Home Insurance Quote Request

Please check the box and fill out the fields below to receive a Home Insurance Quote
Name of Employer: Occupation:
Name of Applicant: Address:
City: Province:
Postal Code: Home Phone:
Business Phone: Fax:
Email:  
 
Present Insurance Company: Expiry Date:
Principal Residence: Type of Dwelling:
Homeowner: Value $ Single Family
  Age of House Under 6 Suites
Condominum: Contents $ Over 6 Suites
Tenant: Contents $ Fire Resistive Structure
Protection: Hydrant Protected Firehall within 8km Unprotected
Liability Coverage Amount: Deductable ($500 or $1000):
Personal Articles: Discounts:
Camera: $ New Home (less than 15 years)
Furs: $ Snr. Citizen (over 50 years old)
Jewelry: $ Alarm
Stamps/Coins: $ monitored
Computers: $ local
Electronics: $ Smoke Detector
$ monitored
$ local
$ Non-Smoker
Upgrades:
(If home is over 25 years old)
Plumbing When? Electrical When?
Heating When? Roof When?
Additional Information:
# of Families: Home for Business Use: Business Use Hrs/Wk: Sewer Backup:
Yes No Yes No
Seasonal Dwelling:
(Location and Value)
Boats:
(Type and Value)
Claims:
(Please list all claims paid in the last 3 years)

» Auto/RV Insurance Quote Request

Please check the box and fill out the fields below to receive a Auto/RV Quote
Employer Name: Occupation:

» Driver #1
Name: Address:
Age: Gender: Years Licenced: Driver Training:
Male Female Yes No
Home Phone: Business Phone:
Fax: Email:
Present Insurance Company: Expiry Date:
Date & Type of Ticked Offences
(Last 3 years for minor offences and last 6 years for major offences)

» Driver #2
Name: Occupation:
Age: Gender: Years Licenced: Driver Training:
Male Female Yes No
Date & Type of Ticked Offences
(Last 3 years for minor offences and last 6 years for major offences)

» Driver #3
Name: Occupation:
Age: Gender: Years Licenced: Driver Training:
Male Female Yes No
Date & Type of Ticked Offences
(Last 3 years for minor offences and last 6 years for major offences)
Coverages Auto 1 Auto 2 Auto 3
Named Driver:
Car Make, Model, Year:
Vehicle Used For:
P.L.P.D. Amount:
Collision Deductable:
Comprehensive:
Specified Perils:
List SEFs By #:
# of CCs:

» Commercial General Liability Insurance Quote Request

Please check the box and fill out the fields below to receive a Commercial General Liability Insurance Quote
Corporate/Business Name:
Address:
Website Address:

» Contact Information
Name(s) of Principals:
Phone (office):
Cell:
Email:
Date Incorporated:
Length of time in similar or related business:
Description of Business Products, Services & Activities:
Gross Business Receipts Last 12 Months:
Anticipated Gross Business Receipts Next 12 Months:

» Prior Insurance History
Name of Insurer:
Years Insured:
Amount of Coverage:
Any Claims or Losses? Yes No
If yes, please email or fax us the details.
What Limit(s) of Commercial General Liability Insurance are you requesting pricing for:
Are you required to provide this insurance to satisfy a contract? Yes No
If yes, please email or fax us a copy of the contract wording which outlines the insurance requirements.
NOTE: Commercial General Liability Insurance policies specifically excludes coverage for Professional Liability (a.k.a. Errors & Omissions Insurance). If you require this coverage we would be happy to provide you with a quotation. Please advise our office and we will arrange to have the appropriate application form forwarded to you ASAP.

» Health/Dental Quote Request

Please check the box and fill out the fields below to receive a Health/Dental Quote
Contact Name: Contact Phone:
Contact Email:    
 
  Name Gender Date of Birth
Principal Insured:    Male Female
Spouse: Male Female
Dependent 1: Male Female
Dependent 2: Male Female
Dependent 3: Male Female
Dependent 4: Male Female
Dependent 5: Male Female

» Plan Selection
Health and Dental:

Base       Deluxe      
Health Only:

Base       Deluxe      

» IT Liability Insurance Quote Request

Please check the box and fill out the fields below to receive a IT Liability Quote

» Application Forms

IT Firms WITHOUT subcontractors


Click here for an Print version of the form



IT Firms WITH subcontractors


Click here for an On-Line version of the form


Click here for an Print version of the form



To submit your form, simply complete the form online or save the file directly to your desktop. Upon completion you have the option to email, fax or post these application documents to HDF Insurance using the information located on our contact page

.

» Quote Request
NOTE: If your firm has subcontractors or if you are doing ERP, SAP, SCADA consulting or Web Hosting (transactional), e-commerce, chat rooms, or Internet related services, please fill out the request form below.
Based on the information you provide here, we will forward the appropriate form of your completion.

Business Name:
Contact Name:
Business Address:
Phone:
Alternate Phone:
Fax:
Email:
Website Address:
Please provide details of the work performed:
Number of subcontractors:
Gross Annual Revenue:

Canada: $US: $Other: $
Previous Liability Insurance Carrier:
Limits of Insurance:

» Life/Disability/Critical Illness Insurance Quote Request

Please check the box and fill out the fields below to receive a Life/Disability/Critical Illness Insurance Quote
Contact Name:  Phone:
Contact Email:  
Life Insured 1: D.O.B: Smoker: Yes No
Life Insured 2: D.O.B: Smoker: Yes No

» Life Insurance
Amount of Insurance: Term     Permanent     Joint Life

» Critical Illness
Amount of Insurance: Term     Permanent

» Disability Insurance (Employees Only)
Occupation: Gross Monthly Income:

» Disability Insurance (Self-Employed Only)
Occupation:
Income Projection
Rate per hour: x
# of billing hrs. per week: x
# of wks. worked per year:
(2 wks. are stat holidays)		 =
(A) Projected Gross Revenue of: in the next 12 months  
Expense Projection
Professional Fees:
Accountants, Lawyers, etc.		 +
Lic./Assoc. Dues: +
Equip./Supplies:
Computer, Fax, Printer, Stationery, etc.		 +
Rent:
Not including home office		 +
Staff:
Only jobs that you would pay a
non-family member to do		 +
Phone/Fax/Internet:
Do not count personal lines		 +
Education:
Out of province/country courses, etc.		 +
Other: +
(B) Projected Business Expenses of: in the next 12 months  
(A) Minus (B) equals your GROSS PERSONAL INCOME of $