Form Information Updated

Application for a representative's certificate (pdf - 236 KB)This link will open in a new window

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 E-Services.

Starting May 6, use the Application for a representative's certificate form for one 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 or her 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 (pdf - 161 KB)This link will open in a new window
(Representative attached to a firm)

Please use the AMF E-Services. 

January 2017

Renewal of Certificate - Maintenance of Registration (pdf - 169 KB)This link will open in a new window
(Independent representative)

Please use the AMF E-Services.

January 2017

Supervisor's Recommandation related to representative's certificate (pdf - 169 KB)This link will open in a new window (Mandatory for all applications following a pobationary period)

Please use the AMF E-Services.

May 2016

Application for Acces to Representative's Own File (pdf - 50 KB)This link will open in a new window

 

July 2007

Application for Registration of independent representative (pdf - 116 KB)This link will open in a new window (Schedule required)

Please use the AMF E-Services.

October 2016

Attestation of Right to Practise - General - Outside Québec (pdf - 195 KB)This link will open in a new window

Formely Request for attestation of the right of practice - Certificate

Please use the AMF E-Services.

January 2017

File Update (pdf - 111 KB)This link will open in a new window

 

January 2017

Statement regarding close supervision (pdf - 242 KB)This link will open in a new window

 

July 2017

Statement regarding strict supervision (pdf - 251 KB)This link will open in a new window

July 2017

Withdrawal from sector(s) / sector class(es) (pdf - 111 KB)This link will open in a new window

 

January 2015

Statement of Guilt (pdf - 108 KB)This link will open in a new window

 

November 2016

Dual Employment (pdf - 193 KB)This link will open in a new window

 

January 2014

Statement of Bankruptcy (pdf - 111 KB)This link will open in a new window

November 2016

Certificate / Registration confirmation
Lost, stolen or never received (pdf - 114 KB)This link will open in a new window

Please use the AMF E-Services.

January 2015

Change of Residential Address (pdf - 64 KB)This link will open in a new window

Starting May 6, please use the AMF E-Services to complete Change of Residential Address form.

If you are not registred please use this form.

May 2015

Mail-in payment form (pdf - 69 KB)This link will open in a new window

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

February 2017

Notice of Replacement of Insurance of Persons Contract (pdf - 76 KB)This link will open in a new window

 

2017