Forms Representatives
Minimum qualifications in damage insurance and claims adjustment
Training equivalents recognized by the AMF
- Application or review of application for attestation of employment (3 years) (pdf - 245 KB)This link will open in a new windowUpdated on January 1st, 2024
- Application or Review of Application for Recognition of Education Equivalent to a Diploma of Collegial Studies (DCS) (pdf - 266 KB)This link will open in a new windowUpdated on January 1st, 2024
Examinations
Application for examination registration authorization
- Application for Examination Registration Authorization - Insurance of persons (pdf - 271 KB)This link will open in a new windowUpdated on January 1st, 2024
- Application for examination registration authorization - Damage insurance (Personal Lines and Commercial Lines), Claims adjustment (Personal Lines and Commercial Lines) (pdf - 296 KB)This link will open in a new windowUpdated on January 1st, 2024
- Application for examination registration authorization mortgage brokerage (pdf - 287 KB)This link will open in a new windowUpdated on January 1st, 2024
- Statement of Guilt (pdf - 170 KB)This link will open in a new windowUpdated on September 19, 2023
- Statement of Bankruptcy (pdf - 183 KB)This link will open in a new windowUpdated on September 19, 2023
Register for one or more examinations
- Application to register for one or more examinations - Insurance of persons (pdf - 235 KB)This link will open in a new windowUpdated on January 1st, 2024
- Application to register for one or more examinations, Damage Insurance, Claims adjustment (pdf - 204 KB)This link will open in a new windowUpdated on January 1st, 2024
- Application to register for one or more examinations mortgage brokerage (pdf - 204 KB)This link will open in a new windowUpdated on January 1st, 2024
Other forms
- Consent for Communicating Personal Information - Authorization or Revocation (pdf - 71 KB)This link will open in a new windowUpdated on June 1st, 2017
- Examination Accommodation Request (pdf - 231 KB)This link will open in a new windowUpdated on September 1st, 2023
- Application for result review (pdf - 102 KB)This link will open in a new windowUpdated on January 1st, 2024
- Application for Recognition of Privately Tutored Course, Damage insurance, Claims adjustment (pdf - 258 KB)This link will open in a new windowUpdated on January 1st, 2024
- Application to postpone or cancel examinations (pdf - 118 KB)This link will open in a new windowUpdated on January 1st, 2024
Probationary period
Authorization of probationary period
- Application for authorization of probationary period, change in supervisor, extension of probationary certificate, add Trainee's vacation (pdf - 342 KB)This link will open in a new windowUpdated on January 1st, 2024
- Application for authorization of probationary period, change in supervisor, extension of probationary certificate, outside Quebec (pdf - 366 KB)This link will open in a new windowUpdated on January 1st, 2024
- Statement of Guilt (pdf - 170 KB)This link will open in a new windowUpdated on September 19, 2023
- Statement of Bankruptcy (pdf - 183 KB)This link will open in a new windowUpdated on September 19, 2023
Other forms
- Analysis of future supervisor’s file (pdf - 172 KB)This link will open in a new windowUpdated on January 1st, 2024
- Consent for Communicating Personal Information - Authorization or Revocation (pdf - 71 KB)This link will open in a new windowUpdated on June 1st, 2017
- Application to cancel or interrupt probationary period or Request to confirm cancellation or interruption of probationary period (pdf - 99 KB)This link will open in a new windowUpdated on September 1st, 2023
- Request for access to solutions - Case study - Group insurance plans & Group annuity plans (pdf - 180 KB)This link will open in a new windowUpdated on June 1st, 2017
- Supervisor's recommendation related to representative's certificate (pdf - 169 KB)This link will open in a new windowUpdated on September 1st, 2023
Certification
- Declaration of an Outside Activity (pdf - 320 KB)This link will open in a new windowUpdated on August 19, 2024
- Statement of Guilt (pdf - 170 KB)This link will open in a new windowUpdated on September 19, 2023
- Statement of Bankruptcy (pdf - 183 KB)This link will open in a new windowUpdated on September 19, 2023
- Registration of independent representative (pdf - 585 KB)This link will open in a new windowUpdated on January 27, 2024
- Attachment of Representative (pdf - 725 KB)This link will open in a new windowUpdated on January 27, 2024
- Renewal of Certificate - Maintenance of Registration - Independent representative (pdf - 474 KB)This link will open in a new windowUpdated on January 1st, 2024
- Renewal of Certificate - Representative attached to a firm or an independent partnership (pdf - 347 KB)This link will open in a new windowUpdated on January 1st, 2024
- Declaration of an Outside Activity (pdf - 320 KB)This link will open in a new windowUpdated on August 19, 2024
- Statement of Guilt (pdf - 170 KB)This link will open in a new windowUpdated on September 19, 2023
- Statement of Bankruptcy (pdf - 183 KB)This link will open in a new windowUpdated on September 19, 2023
- Attestation of right to practise - General/Outside Québec (pdf - 1 MB)This link will open in a new windowUpdated on January 1st, 2024
- Certificate / Registration confirmation Lost, stolen or never received (pdf - 114 KB)This link will open in a new windowUpdated on January 1st, 2015
- Change of Residential Address (pdf - 176 KB)This link will open in a new windowUpdated on September 19, 2023
- Change in status (pdf - 369 KB)This link will open in a new windowUpdated on January 27, 2024
- Application for Acces to Representative's Own File (pdf - 50 KB)This link will open in a new windowUpdated on 1st July 2007
- File update Representative (pdf - 229 KB)This link will open in a new windowUpdated on January 1st, 2024
- Supervisor's recommendation related to representative's certificate (pdf - 169 KB)This link will open in a new windowUpdated on September 1st, 2023
- Withdrawal from sector(s) / sector class(es) (pdf - 119 KB)This link will open in a new windowUpdated on September 19, 2023
Representative’s certificate (issuance of a certificate, reinstatement et addition of a sector class)
Renewal of Certificate
Other forms
Mortgage brokerage - PDU
- Application for an exemption from professional development obligations - Mortgage brokerage (pdf - 146 KB)This link will open in a new windowUpdated on January 1st, 2024
- Application for recognition - Personal training activity - Professional development program in mortgage brokerage (pdf - 172 KB)This link will open in a new windowUpdated on January 1st, 2024