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Representatives - Certification and registration

Form Information Updated

Application for a representative's certificate

Formely :

  • Application for a Representative's Certificate - Insurance of Persons, Group Insurance of Persons or Financial planning
  • Application for a Representative's Certificate in Damage Insurance
  • Application for a Representative's Certificate - Claims adjustment
  • Mention E on the representative's certificate - Claims adjustment (policies purchased through a firm)
  • Application for a Change of Status - Damage Insurance Representative

Please use the AMF’s on-line services.

Starting May 6, use the form Application for a representative's certificate for on of these applications :

  • Application for a Change of Status - Damage Insurance Representative
  • Application for a Change of Sector Class - Claims Adjustment or Damage insurance

For theses two applications, the representative must :

  • have ceased his activities,
  • file an application for withdrawal from sector/sector class
  • file an application for a representative’s certificate.

As well, the firm must fill out the application for Joining a Firm or an Independent Partnership.

January 2017

Renewal of certificate
(Representative attached to a firm)

Starting October 1st, please use the AMF’s on-line services to complete the renewal process.

If you are not registered please use this form.

January 2015

Renewal of certificate - Maintenance of Registration
(Independent representative)

Supervisor's Recommandation related to representative's certificate: Mandatory for all applications following a pobationary period
 

Please use the AMF’s on-line services.

January 2015

Application for Registration independent Representative (Schedule obligatory)

Please use the AMF’s on-line services.

January 2015

Attestation of Right to Practice - General - Outside Québec

Formely Request for attestation of the right of practice - Certificate

 

Please use the AMF’s on-line services.

January 2017

File update

 

January 2017

Statement regarding supervision

 

January 2015

Withdrawal from sector(s) / Sector class(es)  

January 2015

 

 New version

April  2013

Statement of Guilt

 New version

 April 2013

Dual Employment

 New version

April 2013

Statement of Bankruptcy

 New version

April 2013

Certificate / Registration confirmation
Lost, stolen or never received
Please use the AMF’s on-line services.

January 2015

Change of Residential Address

Starting May 6, please use the AMF’s on-line services to complete a notice of a Change of Residential Address.

If you are not registred please use this form.

 May 2015

Form Information Updated

Mail-in Payment form

The AMF accepts forms sent by mail only. Forms sent by e-mail or by fax will not be accepted.

 

February 2017

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