General Insurance Forms

The online application system has recently been enhanced and currently applies to all application categories (New, Amendment, Reinstatement, and Reinstatement + Annual Renewal).

Refer to the User Guides before submitting an application to the ICM.

*General Insurance Applications with an agency affiliation who are applying for a Level 1, 2 or 3 licence are Authorized by (sponsored by) the Operating Agent of the agency

**General Insurance Applications who are applying for the Operating Agent licence are Authorized by (sponsored by) the sponsoring insurance company

***General Insurance Applications who are applying for a Direct Writer Licence are Authorized by (sponsored by) the
sponsoring insurance company



Application for Provincial Examination

Online Application (*all categories)

Apply for an Amendment to your Licence (i.e. Upgrade, Changing sponsor, etc.)

Certificate of Authority / Non-Resident Endorsement Request Form

 

 

 

Where You'll Find Us

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