Add a driver form

Use this form for:
Adding a driver to a passenger vehicle on an existing auto policy.

You’ll need:

  • Your current insurance certificate or policy number
  • Driver’s licence number and driving record details for driver being added

Please note:
We can only accept changes from a named policyholder.

For your protection, any change you make to your policy does not become effective until we contact you to verify the change and the date it went into effect.

Please specify the type and policy number(s) to be changed:



First Named Insured:



Second Named Insured:



Preferred method of contact : TelephoneEmail

Email:



When will this change be effective ? (YYYY-MM-DD):



Driver Information

First Name:



Middle Initial:



Last Name:



Date of Birth:



Please specify your Gender: MaleFemale

Marital Status:



Relationship to Insured:


Driver's License Number:



Class of License:



Number of Years with valid Drivers License:



Province where drivers license was issued:



Has this driver ever had their driver's license suspended or cancelled in the last 3 years?
YesNo

Has this driver taken and passed an official and recognized driver training course?
YesNo

Has the driver been involved in a motor vehicle accident or presented any other type of auto insurance claim to an insurance company in the last 6 years ?
YesNo

What vehicle will this driver be operating?: