David from Saint John, NB | Cheep Insurance

If you do not wish to opt in for the Apartment Protection Program, you must fill out this form to show that you have set up tenant insurance outside the program. This information will be used to update your landlord with your current insurance information only – it will not be used for any other purposes.

Apartment Unit & Tenant Information

Address*

Street Address Unit Number City Province Postal Code

Move in Date

Name on Lease

First Last

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Name on Lease 2

First Last

+ Add Person

Name on Lease 3

First Last

+ Add Person

Name on Lease 4

First Last

+ Add Person

Name on Lease 5

First Last

+ Add Person

Name on Lease 6

First Last

+ Add Person

Name on Lease 7

First Last

+ Add Person

Name on Lease 8

First Last

+ Add Person

Name on Lease 9

First Last

+ Add Person

Name on Lease 10

First Last

Insurance Policy Information

Insurance Company

Policy Number

Effective Date

Expiry Date

Terms & Conditions*

I hereby certify that I have an active tenant insurance policy in my name and that the details listed above regarding this policy are true and correct to the best of my knowledge. I understand that I am required to have active tenant insurance in place the entire time I’m living in this building. I understand that if the policy listed above is cancelled at any point (either by me or by my insurance company), I must set up a new policy right away, either through the Cheep Insurance Apartment Protection Program or outside the program, and provide my landlord with my updated insurance information.

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