Life and Accident & Sickness Insurance Forms

The online application system currently applies to the following categories of applicants:

- Applicant has never held a Manitoba Insurance licence; or
- Applicant is applying for a Supplementary/2nd licence within the same licence class; or
- Applicant wishes to amend or transfer an existing licence.

A future phase of the system will allow for amendments or transfers of Operating Agents, Designated Representatives and RIA Designated Official licenses, as well as reinstatements of agent or adjuster licenses. At the present time, applications of this nature must be submitted by paper format.

Refer to the User Guides and/or Reinstatement Process before submitting an application to the ICM.




Online Application for Provincial Examination

Online Application (*refer to the above)

Paper Application (*refer to the above)

Supervision Certificate 

Certificate of Authority Request Form

 

Where You'll Find Us

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