General Insurance Forms

FOR CONSUMERS

FOR INDUSTRY

General Insurance Forms

Application for Provincial Examination

Application for New Licence (User Guide to assist)

Application for Supplementary/Second Licence (User Guide to assist)

Application for Amendment of a current licence (User Guide to assist)

Operating Agent Application for Reinstatement of a previous licence (Reinstatement Process to assist)

Application for Reinstatement of a previous licence (Reinstatement Process to assist)

Operating Agent Application for Transfer of a previously held licence within the last 12 months

Application for Transfer of a previously held licence within the last 12 months

Application for General Licence Upgrade (note: cannot be used if applying as the Operating Agent)

Certificate of Authority Request Form (used by Manitoba residents only)

Where You'll Find Us

466-167 Lombard Avenue
Winnipeg, Manitoba
R3B 0T6

PHONE:
(204) 988 6800
FAX:
(204) 988 6801
EMAIL:
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