Update

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Policy Update
Please complete the following information to help ensure your coverage continues to suit your needs. Once you click submit at the end of this form, one of our brokers will review the information against your current policy. Any updates that are necessary to bring your policy up-to-date will be reflected in your renewal. If we need any additional information, one of our brokers will contact you, normally within the next week.
Contact and Location Information
Incorporated Name of Your Business

(if NOT incorporated, leave blank)
Operating or Registered Name of Your Business

(if NOT applicable, leave blank)
Full Names of All Owners*
Contact Information

Salutation
Name*

First Name

Last Name
Work Phone

Work Phone
Cell Phone

Cell Phone
Email*

Enter Email

Confirm Email
Mailing Address*

Street Address

City

Province

Postal Code
Location Address*

Location Address: Same as the Mailing address

Street Address

City

Province
Describe your place of work (check all that apply)*
- I provide a Mobile Service
- I work out of my home
- I am a contractor or rent a chair in someone else’s salon or spa
- I lease commercial space for my own salon or spa
- I own the commercial building/unit where my own salon or spa is located

CONTENTS
Contents coverage includes tools, equipment, furnishings and stock or product, plus renovations or leasehold improvements for which you are responsible. Tell us how much coverage you need by entering the replacement value for brand new items. Use the full replacement value for brand new items to avoid being penalized if you have a claim.
Business Tools, Equipment & Furnishings (excluding laser/IPL equipment)*
What is the cost to replace these with brand new items?
(If you don’t have any to insure, enter 0)
Laser/IPL Machines and Handpieces
What is the cost to replace these with brand new items?
Stock Limit
What is the usual value of stock or product you keep on hand?
Leasehold Improvements & Renovations
What is the cost today to rebuild renovations you are responsible for. If you are leasing space, you are responsible for any leasehold improvements you make. Also check your lease as it will indicate if you’re also responsible for glass, heating/air conditioning, electrical system or leasehold improvements made by prior tenants or the landlord. The amount you enter must be enough to rebuild the improvements you’re responsible for to enable your unit to be rebuilt to its current setup after a claim.
Total Contents Limit (total of above)

DECLARATION & PERSONAL INFORMATION CONSENT
I declare that the statements made are true and correct, with my insurance to be based on the truth of these statements.

By submitting this update, you also declare that you have read or consent to PROtique Insurance’s Personal Information Policy (“Policy”) for the current and future collection, use and disclosure of personal information in accordance with the Policy. The Policy can be viewed at: www.protique.ca/privacy-policy.

Note that PROtique is operated by KRS Insurance Brokers Inc. Insurance is underwritten by Intact Insurance.
I agree to Electronic Communications*
- PROtique and its parent company, KRS Insurance Brokers Inc., may contact me electronically regarding my policy, reminder notices, claim assistance, news, updates and promotions. Consent can be withdrawn by sending an email to services@krsinsurance.ca with “Unsubscribe” in the subject line.
I Agree to the Declaration and Consent Above*

First Name

Last Name
Caution

Once the submit button is clicked, the application is sent to PROtique. If editing is required, please do so BEFORE clicking the submit button.
We never rent or sell our customers’, applicants’ or subscribers’ information.
Name

This field is for validation purposes and should be left unchanged.

Policy Update