Assurena Insurance Agency is an independent insurance brokerage agency that carries some of the best coverage options in the entire New USA.

Our Contacts

88 Centre Street North,
Toronto L4W 1C9
+1 (419)-507-0468
+1 (213)-345-0468

Working Hours

9.00 - 5.00
8.00 - 5.00
8.00 - 5.00
8.00 - 5.00
8.00 - 4.00

New Client Form – Individual

This form is for clients who are either a sole trader or do not have a business and are filing tax returns for another reason. Please only complete this form if you have made the decision to appoint us.

If there are any questions you are unsure of or do not have the information to hand then please leave this blank and we will check this with you after. If you would prefer to complete the new client form in a Word document format then please download the form here

We also ask for a deposit on the engagement of £100, this is detailed on the form below.

Why not contact us today?

For more information on the above, please Contact Us or telephone on 0208 432 3419 and we will be glad to answer all of your questions. Even better, why not book your FREE Quotation today, it only takes a minute.

Just looking for an idea of costs? No problem! Visit our Request a Quote page, fill out a simple Form, then we will get back to you within 24 hours. That’s a promise! 

Live local? If you are out and about in the Orpington, Bromley, Beckenham, Chislehurst or Kent area, why not give us a quick call to confirm if we can arrange an immediate, free consultation.