ICBC Renewal

First Name*

Last Name*

Phone*

Date of Birth*

Email**You must be able to access this email address when we contact you in order to process this request.

City*

Policy Expiry Date

Driver's License Number

I need to:Renew my auto insuranceMake a change to my existing policyPurchase storage insurance

What is your vehicle model and year?

Current Odometer Reading (For possible mileage based discount)

Comments - Your Instructions

Consent*YES, I acceptBy ticking this box I consent for Prime Insurance Centre Ltd. to access my ICBC account and consent to sending/receiving my personal information, insurance forms and, if applicable, banking information by email.

• Getting your information by email message may not always be secure. Your email could be broken into, and your information could be seen, shared with others, or changed without your permission. We recommend deleting information from your email to reduce the risk to you.

• Depending on your email provider, information we send to you may be stored outside of Canada.

• If you delete email messages from Prime Insurance, backup copies could still be on your computer or in cyberspace.

• After your transaction is processed, you will be sent an email with your policy documents. ICBC requires you to respond to that email and tell us if you have accepted your policy terms. You’ll be given options to confirm your acceptance

Consent*YES, I agreeI agree and understand that my insurance is NOT renewed and my coverage will NOT take effect until a licensed insurance representative has contacted me and has confirmed that coverage is bound.

If you need immediate assistance, please call our office 604-582-0557