Get Canada 420-ccir-e1 2005-2025

The Canada 420-CCIR-E1 form is essential for individuals seeking to apply for a new general insurance agent or broker licence. This guide provides a comprehensive walkthrough to help users complete the form accurately and efficiently, ensuring compliance with all necessary requirements.

Follow the steps to successfully complete the Canada 420-CCIR-E1 form online.

1. Press the ‘Get Form’ button to access the Canada 420-CCIR-E1 form and open it in the online editor.
2. Begin by entering your personal identification and qualification information in the designated fields. This includes your last name, first name, middle name(s), and preferred name if applicable.
3. Indicate whether you have ever been known by another name. If applicable, specify the name in the provided field. Complete your birth date and sex as required.
4. Fill in your residential address, including the street name and number, city, province, and postal code. Include your home telephone and fax number if relevant.
5. Provide your business name and address in the corresponding section, as well as your business telephone, extension, and fax number if applicable.
6. Select your preferred address for correspondence, and ensure to provide both residential and business email addresses if available.
7. Review the consent statement regarding the collection, use, and disclosure of information. Acknowledge this by signing and dating the designated area.
8. Choose the type of licence you are applying for: either a general insurance agent licence or a general insurance broker licence by checking the appropriate box.
9. If you hold a licence in your home jurisdiction, provide the licence number. Include any requisite documents such as a Certificate of Authority, as directed in Appendix A.
10. Complete the qualifications section by indicating that you hold requisite qualifications as per the specifications outlined in Appendix A.
11. Document your employment history for the past five years, including your dates of employment, employer names, positions held, and reasons for leaving.
12. Answer questions regarding any past disciplinary actions, bankruptcies, or other relevant legal matters, and include details where applicable.
13. Indicate if you have Errors and Omissions insurance, providing the necessary policy details.
14. Complete the declaration attestation by verifying that the answers provided are accurate and complete, signing where indicated.
15. At the final step, save your changes, and opt to download, print, or share the form as needed.

Start filling out your Canada 420-CCIR-E1 form online now to ensure a seamless application process.