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Quotes

Request a Quote Online Today

Name: Mantha Insurance Brokers Ltd.
Address: 1400 St. Laurent Blvd., Ottawa, Ontario, K1K 4H4, CA
Telephone: 613-746-1450

Please take a moment to fill out one of our online forms so we can prepare a free, no obligation quote. We will contact you as soon as possible with the information you need to choose the right type of coverage.

Motorcycle Insurance

Home / Tenant / Condo

Auto Insurance

Business Insurance

Motorcycle Insurance Form

Name*

Email*

Postal Code*

Phone Number*

Date of Birth: (Those under 25 yrs of age do not qualify with any of our companies)*

Driver’s license #:*

License type – Currently holding/Valid:*

Motorcycle Driver Training Certification completed:*

Day/month/year

N/A

How many years of continuous bike insurance (no gaps) - BIKE only:*

Any chargeable claims - BIKE only:*

Yes

No

Any convictions:*

Yes

No

Bike Information

Year:*

Make:*

Value $:*

Model:*

#CCs (We do not have a market for under 600cc)*

AUTO INSURANCE FORM

Name*

Email*

Postal Code*

Phone Number*

Date of Birth:*

Driver’s license #:*

Any chargeable claims:*

Yes

No

Any convictions:*

Yes

No

Vehicle Information

Year:*

Make:*

Model:*

HOME / TENANT / CONDO INSURANCE FORM

Name*

Email*

Postal Code*

Phone Number*

TYPE OF POLICY

Homeowners

Condo

Tenants

Any losses in the last 5 years:*

Yes

No

Smoker:*

Yes

No

Mortgage:*

Yes

No

Type of building:*

Single-detached

Semi-detached

Townhouse

Within 300m of hydrant?*

Yes

No

Within 6km of a fire station?*

Yes

No

Station shuttle tanker service?*

Yes

No

Year built:*

Square footage (not including basement):*

Amount of insurance on building:*

Garage:*

Built in

Attached

Detached

Monitored alarm:*

Yes

No

Heating

Electric

Natural Gas

Oil

BUSINESS INSURANCE FORM

Name*

Email*

Postal Code*

Phone Number*

Comments*

Taking care of what’s important!

LOCATION

1400 St. Laurent Blvd.

3rd floor

Ottawa, Ontario K1K 4H4

Phone: 613-746-1450

Toll Free: 1-800-269-2728

HOURS

Monday - Friday 08:30 AM - 04:30 PM

24-hour Emergency Service

Service Areas

Ontario

Quebec

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