ICBC Renewal Form - Waypoint Insurance

We believe you deserve complete coverage customized for your lifestyle here on the west coast. Work with our expert auto team and protect you, your family, and your vehicle.
Name*
First Last
Association Member Number*
Address*
Street Address Address Line 2 City Province Postal Code
Email*
Phone*
Policy Expiry Date
MM slash DD slash YYYY
Driver's License Number
Date of Birth*
MM slash DD slash YYYY
Additional Information
Important: By ticking this box, I consent to a Waypoint Insurance broker accessing my ICBC account for policy details.*
I accept
I agree and understand my insurance is NOT renewed and my coverage will NOT take effect until a licensed insurance representative has contacted me and has confirmed and informed me of my bound insurance policy.*
I accept
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