STEP 1: COMPANY INFORMATION

Please enter the physical address where the business primarily operates. PO Boxes are not permitted for policy creation, as a valid street address is required for underwriting and regulatory purposes. If you would like to use a separate address for billing, a designated Billing Address field is available.
Business Start Date refers to the official date your business was legally formed or began operations.
This is typically the date listed on your business registration documents, articles of incorporation, or other legal filings.
Please enter the date in MM/DD/YYYY format. If you're unsure, refer to your business formation paperwork or consult your legal or compliance team.
You must enter a website, if launch is pending put "TBD"

STEP 2: CONTACT INFORMATION

STEP 3: RENTAL PORTFOLIO & BUSINESS MIX

Cancellation Data Upload

Cancellation Data Upload: Please provide a data upload of the last 12 months.
(If unsure how to gather this from the Streamline system, please click here for instructions.) 
If you are sending us your cancellation data spreadsheet directly, please upload and attach it to this form. If not, please skip this part and continue to the next step.

STEP 4: AUTHORIZATION

Authorization Declaration:

I hereby declare that I have the authority to sign on behalf of the company and that all the included information is true and correct. With respect to this form, I authorize you to collect, use and disclose information as permitted by law for the purposes necessary to asses risk, investigate and settle claims, detect and prevent fraud, and analyzing business results.

RentalGuardian is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:
I agree to receive other communications from RentalGuardian.
In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please tick the checkbox below.
I agree to allow RentalGuardian to store and process my personal data.
You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.

STEP 5: ADDITIONAL INFORMATION

NOTE: This is not your Policy Effective date