NREIG Renters Insurance by National Real Estate Insurance Group

Nreig Renters Insurance Application

Payment Method(s)

Application Completed

Continue to confirmation

Applicant Information

First Name

Middle Name

Last Name

Phone Number

Email Address

Step 1 / 5

Address Rented and Coverage start

Effective Date

Rented Address

Address 2

City

State

Zip Code

Step 2 / 5

Coverage Limits

Liability Limit: The amount of coverage provided for incidents such as injuries to another person occurring on the premises or damage you unintentionally cause to the rental.

Contents Limit: The amount of coverage you would like to purchase for your personal belongings within the rented property.

Coverage Type	Liability Limit	Contents Limit
Low Coverage	$100,000	$10,000	$30.30/month*
Average Coverage	$100,000	$25,000	$40.40/month*
High Coverage	$100,000	$50,000	$55.55/month*

* Additional 7% policy fee and 5% SL Tax is added to down payment and monthly payments.

Tenant(s) Information

Step 3 / 5

Please list all adult tenants who are 18+ years old.

First Name

Middle Name

Last Name

Email Address

Phone Number

Date of Birth

Add Tenant

Landlord Information

Step 4 / 5

Landlord Name

Business Name or Owner name

First Name

Middle Name

Last Name

Email Address

Phone Number

Payment Method(s) Add

Step 5 / 5 Add Payment Method(s)

Card Payment Bank Payment

Name on Card

Card Number

Expiration Date

Security Code 3 or 4 digits

Billing Address

City

State

Zip Code

Save Card

Select Down Payment and Recurring Payment Method

Step 5 / 5

Down Payment () Add New Payment Method

Monthly Recurring ()

Agreements
	By checking here, I agree to purchase renter’s insurance through National Real Estate Insurance Group, LLC. I understand that my coverage will continue until either I request to cancel the coverage, or my coverage is cancelled through electronic mail notice
	By checking here, I agree that NREIG can provide my landlord with information about my renters insurance coverage.
	By checking here, I agree to automatic recurring monthly payments starting 30 days after my effective date using the payment method on file.

Account Confirmation

Confirm and Create Account

Email Address

Create your password

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