ICBC Renewal & Changes Request Form

We're here to help!

To have an agent contact you, simply select the type of insurance you'd like to complete and then fill in your contact info below.

We are working hard to process all email requests and will get back to you as soon as possible. A response to this request may take several hours or the following business day. Please note we are only able to accept payment by credit card or payment plan for eligible transactions.

What kind of transaction would you like to do?*

Renew my auto insurance
Make a change to my existing policy (change rate class, drivers, coverages or address etc.)
Get a temporary operating permit
Other

If 'Other' please explain: (please note cancellations that require the return of license plates are not eligible to be processed by phone & email)

Contact Information

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

MM/DD/YYYY

Driver's License Number

What is your vehicle model and year?

Select your existing or preferred Sussex Insurance location in BC.*

*If your location is not listed, select the next closest location to you. *Please note we are only able to service clients in BC.*

Comments

How did you hear about us?

Google Search
TV commercial
Social Media (Facebook, LinkedIn)
Radio
Existing Customer
Word of Mouth
Newspaper Ad
Other

Other:

Please describe how you heard about us

Consent*

YES, I accept

Your privacy is very important to us. Sussex Insurance wants to make sure your personal information remains safe and protected.This is a consent for communicating by email and sending/receiving your personal information, insurance forms, and if applicable banking information by email. It is important that you understand the following conditions:

• 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 Sussex 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 agree

I 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.