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My Surex
My Surex
Request a Farm Quote
Please complete this form and a broker will contact you to help you get the best insurance possible.
Policyholder's Name
Email
Phone
Province in which farm is located
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Farm type (select all that apply)
Dairy
Grain
Hay
Livestock
Other
Who is the farm currently insured with?
Briefly describe your farm
Send info