Specific classes of Insurance

Life and Accident & Sickness Insurance Forms

General Insurance Forms

Independent Insurance Adjusters Forms

Hail Agent and Adjuster Forms

Restricted Insurance Agents - Incidental Sale of Insurance Forms

Agent/Adjuster Licence Reinstatement Form

A Reinstatement Form may only be completed for individuals who have held a licence within the past 12 months and who are wishing to reinstate their licence with the same employer and/or sponsor.  Other changes require completion of a full application.

General Insurance Agent

General Insurance Operating Agent

Life and Accident & Sickness Agent

Insurance Adjuster

Insurance Adjuster Designated Representative

Hail Agent

Miscellaneous Forms

Certificate of Authority / Non-Resident Endorsement Request Form

Life Insurance Replacement Declaration (LIRD)

Termination Form

Where You'll Find Us

466-167 Lombard Avenue
Winnipeg, Manitoba
R3B 0T6
  • PHONE:
    (204) 988 6800
  • FAX:
    (204) 988 6801