Restricted Insurance Agents - Incidental Sale of Insurance Forms

The online application system has recently been enhanced and currently applies to all application categories other than an Amendment to a Restricted Insurance Agent's (RIA) Designated Official, which requires the completion of a paper application.

Refer to the applicable User Guides and/or Amendment Information - When to Notify the Council of Changes before submitting an application to the ICM.

*Restricted Insurance Agent (RIA) Applications who are applying as the Designated Official of the entity are Authorized by (sponsored by) the sponsoring insurance company

Online Application (*refer to the above)

Application to Change Designated Official

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