BUSINESS & CORPORATE INSURANCE

Do NOT enter SIN or any sensitive financial account numbers.
Please fill out this form so we can prepare the right insurance options for your business.

Legal Business Name *

Operating / Trade Name (if different)

Business Owner(s) Full Name(s)

Email *

Mobile Number *

Business Phone Number

Business Address *

City and Province *

Website / Social Media

Preferred Languange *

English

Français

Both / Either

Years in Operation:

Less than 1 year

1–3 years

3–10 years

10+ years

Number of Employees:

Do you already have business insurance?

Yes

Not sure

If YES, list your current insurer & coverage amount:

Are you looking to:

Replace an existing policy

Compare quotes

Add new coverage

First time getting business insurance

Describe your business activities and services:

Annual Gross Revenue (estimate):

Valuation of your Business:

If applicable, please describe:

Do you own or rent your business location?

Own

Rent

Home-based business

Estimated value of:

Inventory $
Equipment & tools $
Office contents $

Does your business require Tools & Equipment coverage?

Yes

Not sure

Have you had any business insurance claims in the past 5 years? *

Yes

Have you had any business insurance claims in the past 5 years? *

If YES, provide details:

Any ongoing legal issues or liability concerns?

Yes

If YES, please describe:

Anything else we should know to prepare your quote?

Preferred Consultation Method:

Zoom / video call

In-person

Consent to be contacted
I agree that a representative from JK Infinite Solutions may contact me by phone, email, or text message to discuss my financial needs and potential solutions.

CASL / marketing consent
I would like to receive educational content, invitations to webinars, and updates about financial strategies and services. I understand I can unsubscribe at any time.

This form is for assessment purposes only and does not constitute a quote or approval. Please do not enter any SIN or sensitive information. All life insurance recommendations depend on proper underwriting, licensing rules per province, and carrier eligibility.