Forms Representatives
Minimum qualifications in damage insurance and claims adjustment
Training equivalents recognized by the AMF
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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, 2025
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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, 2025
Examinations
Application for examination registration authorization
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Application for Examination Registration Authorization - Insurance of persons
(pdf - 271 KB)
This link will open in a new windowUpdated on January 1st, 2025
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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, 2025
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Application for examination registration authorization mortgage brokerage
(pdf - 287 KB)
This link will open in a new windowUpdated on January 1st, 2025
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Statement of Guilt
(pdf - 170 KB)
This link will open in a new windowUpdated on September 19, 2023
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Statement of Bankruptcy
(pdf - 183 KB)
This link will open in a new windowUpdated on September 19, 2023
Register for one or more examinations
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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, 2025
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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, 2025
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Application to register for one or more examinations | Mortgage brokerage
(pdf - 204 KB)
This link will open in a new windowUpdated on January 1st, 2025
Other forms
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Consent for Communicating Personal Information - Authorization or Revocation
(pdf - 71 KB)
This link will open in a new windowUpdated on June 1st, 2017
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Examination Accommodation Request
(pdf - 231 KB)
This link will open in a new windowUpdated on September 1st, 2023
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Application for result review
(pdf - 102 KB)
This link will open in a new windowUpdated on January 1st, 2025
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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, 2025
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Application to postpone or cancel examinations
(pdf - 118 KB)
This link will open in a new windowUpdated on January 1st, 2025
Probationary period
Authorization of probationary period
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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, 2025
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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, 2025
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Statement of Guilt
(pdf - 170 KB)
This link will open in a new windowUpdated on September 19, 2023
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Statement of Bankruptcy
(pdf - 183 KB)
This link will open in a new windowUpdated on September 19, 2023
Other forms
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Analysis of future supervisor’s file
(pdf - 172 KB)
This link will open in a new windowUpdated on January 1st, 2025
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Consent for Communicating Personal Information - Authorization or Revocation
(pdf - 71 KB)
This link will open in a new windowUpdated on June 1st, 2017
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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
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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
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Supervisor's recommendation related to representative's certificate
(pdf - 169 KB)
This link will open in a new windowUpdated on September 1st, 2023
Certification
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Declaration of an Outside Activity
(pdf - 320 KB)
This link will open in a new windowUpdated on August 19, 2024
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Statement of Guilt
(pdf - 170 KB)
This link will open in a new windowUpdated on September 19, 2023
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Statement of Bankruptcy
(pdf - 183 KB)
This link will open in a new windowUpdated on September 19, 2023
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Registration of independent representative
(pdf - 585 KB)
This link will open in a new windowUpdated on January 27, 2024
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Attachment of Representative
(pdf - 725 KB)
This link will open in a new windowUpdated on January 27, 2024
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Renewal of Certificate - Maintenance of Registration - Independent representative
(pdf - 477 KB)
This link will open in a new windowUpdated on January 1st, 2025
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Renewal of Certificate - Representative attached to a firm or an independent partnership
(pdf - 359 KB)
This link will open in a new windowUpdated on January 1st, 2025
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Declaration of an Outside Activity
(pdf - 320 KB)
This link will open in a new windowUpdated on August 19, 2024
Representative’s certificate (issuance of a certificate, reinstatement et addition of a sector class)
Renewal of Certificate
Mortgage brokerage - PDU
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Application for an exemption from professional development obligations - Mortgage brokerage
(pdf - 146 KB)
This link will open in a new windowUpdated on January 1st, 2025
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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, 2025
Supervision condition
Other documents
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Attestation of right to practise - General/Outside Québec
(pdf - 1 MB)
This link will open in a new windowUpdated on January 1st, 2025
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Change of Residential Address
(pdf - 176 KB)
This link will open in a new windowUpdated on September 19, 2023
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Change in status - Damage insurance / Representative
(pdf - 369 KB)
This link will open in a new windowUpdated on January 1st, 2025
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File update - Representative
(pdf - 229 KB)
This link will open in a new windowUpdated on January 1st, 2025
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Application for Acces to Representative's Own File
(pdf - 55 KB)
This link will open in a new windowUpdated on 1st July 2007
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Supervisor's recommendation related to representative's certificate
(pdf - 169 KB)
This link will open in a new windowUpdated on September 1st, 2023
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Withdrawal from sector(s) / sector class(es)
(pdf - 119 KB)
This link will open in a new windowUpdated on September 19, 2023
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Notice of Replacement of Insurance of Persons Contract
(pdf - 104 KB)
This link will open in a new windowUpdated on August 16, 2022
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Consent for Communicating Personal Information - Authorization or Revocation
(pdf - 71 KB)
This link will open in a new windowUpdated on June 1st, 2017