Callback request Fill out this short form and we will contact you in the next few days. Business insurance expiry date - Select -JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember First name Last name Telephone e.g. : 418-888-8888 Ext. Email Briefly describe your business (optional) e.g.: business type, employee count, etc. By submitting this form, I agree that SSQ Insurance may call me at the telephone number above for solicitation purposes, in order to offer me a quote.