General Insurance Forms

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​​​​​ATTENTION

Effective immediately, cheques are no longer payable to the Minister​ of Finance. Please make all  cheques/money orders payable to the Financial Services Regulatory ​Authority of Ontario (FSRA).

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The content on this web page has moved to www.fsrao.ca. Visit https://www.fsrao.ca/industry/home-life-and-health-insurance-sector/general-insurance-forms-and-documents to update your bookmarks.

 

 

To use these forms, you must download them using a desktop or laptop computer and have Adobe reader [New Window] installed.

To download and open the form to your desktop:

 

  1. Right click the link to the form and select save link as and save the form to your desktop.

    (To do this with a keyboard, tab to the link of the form. Hold down SHIFT and press F10. Then select save link as... and save the form to your desktop)
  2. Open the form by right clicking and select open with... and select Adobe reader.

    (Use your operating systems keyboard shortcut to use the open with command and open with Adobe reader. NOTE: Using the keyboard only may require you to open Adobe reader then open the form)

 

Insurance Adjuster Application [PDF Document] Size: 36 kb

To be used for submitting new or renewal applications for an Insurance Adjuster license in Ontario.

 * Having trouble downloading this form? See Downloading and viewing dynamic forms.

Corporate/Partnership ​Application for Insurance Adjuster [PDF Document] Size: 48 kb

Only to be used to obtain a new/renewal Insurance Adjuster Corporate/Partnership license in Ontario.  * Having trouble downloading this form? See Downloading and viewing dynamic forms.

Insurance Agent Corporate/Partnership Application Size: 201 kb

Used to obtain a new/renewal life, general or A&S Corporate/Partnership license in Ontario, it also enables a life, general or A&S Corporate/Partnership to inform FSCO of a change of name, address and/or sponsor.
[PDF Document] Size: ## kbAccessible PDF (fillable) * Having trouble downloading this form? See Downloading and viewing dynamic forms.
[PDF Document] Size: ## kbPDF (non-fillable)

 

Business Activity Complaint Form [PDF Document] Size: ## kb

For filing a complaint with the Financial Services Commission of Ontario (FSCO).

[PDF Document] Size: ## kb Size: 169 kb Size: ## kb* Having trouble downloading this form? See Downloading and viewing dynamic forms.

Licensing Link Agreement 
[PDF Document] Size: ## kb Size : 149 kb​​Accessible PDF

Required to enable access to Licensing Link online services for insurance companies.

Life Insurance Replacement Declaration [PDF Document] Size: 70 kb

to be used by life insurance agents when replacing a life insurance policy.

 

Out of Province Agent Applications [New Window]

Paper versions of the harmonized application forms, intended to be used by Ontario licensed agents applying to be licensed in another province, except for the Yukon, North West Territories and Nunavut, for General, Life, and Accident & Sickness insurance agent licenses.

Prepayment Agreement & Form [PDF Document] Size: 38 kb

​Required for online services using Licensing Link, including various fees related to applications, renewals and transfers of insurance licenses.

 

Ontario Automobile Insurance Examination Application Size: 163 kb [PDF Document] Size: ## kb

Application  request  to be used by out-of-province applicants requesting  to write the local knowledge exam prior to applying for a General Insurance Agent or Full Adjusters Licence

 

 
Application for Surrender of an Insurance Adjuster Licence
Used to surrender an insurance adjuster licence.  For questions related to this form, please see the FAQs.
[PDF Document] Size: ## kbAccessible PDF * Having trouble downloading this form? See Downloading and viewing dynamic forms.
 
Application for Surrender of an Insurance Agent or Corporate/Partnership Licence
Used to surrender an insurance agent licence.  For questions related to this form, please see the FAQs.
[PDF Document] Accessible PDF * Having trouble downloading this form? See Downloading and viewing dynamic forms.