MyBrokers for MaxWell Realty

Home insurance referral

Refer your client for a home insurance quote in under two minutes. A dedicated MyBrokers broker is assigned automatically and contacts your client directly, and keeps you in the loop on the file.

I confirm I have this client's consent to collect and share their personal and property information with MyBrokers Insurance and Risk Consulting for the purpose of preparing a home insurance quote, in accordance with applicable Alberta privacy legislation and Alberta Insurance Council conduct requirements.

Client details

The homebuyer we will be quoting.

First name *

Last name *

Email *

Phone *

Current mailing address *

Property to insure

Address is required. The rest helps us prepare a faster, sharper quote.

The property to insure is the same as the client's mailing address

Property address *

Year built

Square footage

Type of dwelling

Referring MaxWell agent

So we can keep you in the loop on your client's file.

Agent full name *

Agent phone *

Agent email *

MaxWell branch *

On submit, a MyBrokers home insurance broker is assigned automatically and reaches out to the client directly. Fields marked * are required.