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Miscellaneous Forms

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Recommended Materials prior to applying for a licence:

  • Refer to the User Guides and Applying for a Licence page on the ICM website before submitting an application to the ICM, as these materials outline the required items needed to apply for a licence.
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Certificate of Authority / Non-Resident Endorsement

* This document can be requested directly within your online portal by clicking under the Licences tab.
Attatchment
Life Insurance Replacement Declaration (LIRD)
External Link

Termination/Cancellation Form

Licence Holders

The Insurance Council of Manitoba is the Regulatory Body responsible for the licensing and discipline of insurance agents, brokers and adjusters in the Province of Manitoba.

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466-167 Lombard Avenue

Winnipeg, Manitoba
R3B 0T6

Business Hours: Monday to Friday 8:30 AM – 4:30 PM

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