Restricted Insurance Agents - Incidental Sale of 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 and/or Amendment Information - When to Notify the Council of Changes before submitting an application to the ICM.

Online Application (*refer to the above)

Paper Application (*refer to the above)

Employees of Other Entities Application

Application to Change Designated Official

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