Forms


Download forms to notify Council of the following changes to your licence or apply for a licence:
 

Use this form to change your home or service address, telephone number, or email address. Provide to the Insurance Council within 30 calendar days of the change:

Change Individual Contact Information Form
Change Corporate Contact Information Form
Supervisor Undertaking Form: Used to declare your new supervisor. This form should be provided to the Insurance Council within 5 business days of the change.

End Authorization to Represent and/or End Supervision Form: Supervisors and supervisees must complete this form to notify the Insurance Council when a supervision is ceased, while the supervisee is under the mandatory supervision Period.

Process Review Statement: Although not mandatory, it is recommended that this form, or something similar be completed for every file the supervisor reviews. You do not need to submit these forms, but are encouraged to retain them for your records.

Confirmation of Completion Form: As of January 1, 2020, this form must be submitted when the New Life and/or Accident & Sickness agent has completed the mandatory amount of time under supervision and their supervisor is ready to recommend them for unsupervised practice. Please note that supervision must continue until the form has been submitted and reviewed by the Insurance Council.

For more information about New Life and/or Accident and Sickness Agent supervision requirements, see the Insurance Council's notice ICN 19-004 Guidelines for Supervision of New Life and/or Accident & Sickness Agents.


 
Complete this form to add/update the nominee information of a licenced agency or firm. The Insurance Council must be notified within 5 business days of the change:

Add/Update Agency Nominee Form
Individual Licensees who are leaving one employer and moving to another, adding another employer, or ceasing employment with an Agency must notify the Insurance Council in writing via email within 5 business days.

Please use the following forms when adding or removing an Agency/employer:
  • Add Authorization to Represent Form: Complete this form to add a new employer or Agency. Please note your Agency must approve your authorization to represent them. This form is also required if you would like to add an unaffiliated representation.
  • End Authorization to Represent and/or End Supervision Form: Complete this form when you cease employment with your Agency and you no longer represent them. Unaffiliated agents can use this form to indicate they are ceasing to act as independent agents. Please note the licence status will become inactive if there's no other authorization to represent attached to your licence.

Corporate Licensees/Nominees (or authorized delegates) can update authorizations to represent through the Online Portal, by signing into the corporate licence account.

Add ATR:
  • Log into the portal.
  • Click on Manage Authorizations to Represent (ATR).
  • Select Create ATR.
  • Fill in the required information. If you receive any error messages, correct the information or contact the licensing department for assistance.
  • Review the information, make any necessary changes, and click Continue.
  • A confirmation message with a green check box will indicate that your request has been processed and the new information will be displayed on the Licensee Directory.
Some ATR requests will still need to be processed by the licensing department. Specifically, these include anyone with a supervisory requirement, level 3 licensees and nominees. For these requests, please complete and submit an Add Authorization to Represent Form.  

End ATR:
  • Log into the portal.
  • Click on Manage Authorizations to Represent (ATR).
  • Select End ATR.
  • Fill in the required information. Please note you can enter a future end date and the representation will be terminated as of the date you have selected. If you receive any error messages, correct the information or forward your request to licensing@insurancecouncilofbc.com for processing. 
  • Review the information, make any necessary changes, and click Continue.
  • A confirmation message with a green check box will indicate that your request has been processed.
If you encounter any technical difficulties when removing the authorization to represent, you can submit a completed End Authorization to Represent/and or End Supervision Form by email to the Licensing Department at licensing@insurancecouncilofbc.com.

Licence Termination

Individuals and Agencies wishing to terminate a licence must submit a Termination of Licence Form by email to the Licensing Department at licensing@insurancecouncilofbc.com. Please note that after a licence is terminated, you no longer hold an insurance licence and cannot conduct insurance activities. If you or your corporation wish to be licensed, you are required to submit a new licence application.
Download and complete this form, attaching copies of name-change documents to change your name on your licence.  Please note, there is a fee to change your name (see form for details).

Submit your name change to the Insurance Council within five business days.

Change of Name Form and Fee Schedule
Download and complete this form to update your level of licence. Please attach evidence of education for the requested level of licence.
 

Update Level of Licence Form