Life Insurance Quote Form

Which insurance are you interested in? You can select more than one policy type

This question is mandatory

Do you have any dependents? People who depend on you financially i.e. a spouse, children, elderly parents

Do you have a mortgage or other loans? Most people will want to have their mortgage and other loans paid off as part of their policy

Do you want coverage for your funeral costs? Also known as burial or final expenses insurance, this a life insurance coverage that covers your funeral and other final costs.

Your sex? This can effect quotes because females tend to live longer lives than males.

Are you a smoker? If you’re a non-smoker, most life insurance companies will offer you favorable rates.

Date of birth Younger individuals will generally pay considerably lower insurance premiums.

Age must be between 18 - 100

Which province do you live in? Products and rates vary by Province.

Please select a province

Your name? So we know how to address you!

Please provide a valid first name

First Name must contain at least 2 letters

Please provide a valid last name

What is your email address? We'll send your quote request confirmation to this email address

Please enter a valid email

What is your mobile number? Your number will only be used to verify your request and connect you with an insurance advisor. We won't use it for any other purpose or share it with any other parties.

Please enter a valid phone number

FinanceVine.ca - a FinanceVine Inc. owned website - runs advertisements for independent insurance advisors in your area who have been vetted for their professionalism and expertise. We only match you with 1 advisor exclusively, so you will not be spammed by multiple businesses. We never sell your information to anyone else. You'll only ever hear from FinanceVine or the single advisor we assign you to. You can opt-out at any time.

Can't receive the code via SMS?
Get the code through a phone call