Tools & Resources | Change use of Vehicle
About You  
Name(s) of insured(s):  
1st insured:
2nd insured:
How can we reach you?
E-mail address:
Daytime telephone #:
Home telephone #:
Fax #:
   
Vehicle Information  
Vehicle make:
Year:
Model:
Use of vehicle:
Comments (details if use is other):
Is this vehicle used out of the province more than 30 days/year?
Yes     No
Is this vehicle used for commercial or delivery purposes?
Yes     No
Kilometres traveled per year:
How many kilometers one-way for daily commute?
If this vehicle is used for work-related travel, how many kilometers/year (not including travel to and from the workplace)?
   
Effective Date  
When will this change be effective? (dd/mm/yyyy)
   
About Your Insurance
(Specify the policy to which this change applies) 		 
Company:
Policy #:

Will this change in use result in changes in use of any other vehicles owned?

If so, please indicate what will change:
Name of your broker:
For security purposes, please write the characters in the image into the box below:
(Case Sensitive)