A provincial state of emergency remains in effect due to numerous wildfires.
For wildfire related information, call the 24-hour info line at 310-4455 (available in 200+ languages) or visit alberta.ca/emergency.
A provincial state of emergency remains in effect due to numerous wildfires.
For wildfire related information, call the 24-hour info line at 310-4455 (available in 200+ languages) or visit alberta.ca/emergency.
Insurance forms for consumers, insurers and health care practitioners.
PDF form issues
Fillable PDF forms do not open properly on some mobile devices and web browsers. To fill in and save the form:
To submit your forms
Follow the directions on the form for submission instructions. If you have any questions, contact the Alberta Superintendent of Insurance.
Complete the form and follow the directions on the form for submission instructions.
The following prescribed Accident Benefit Claim forms were updated in April 2017. For a description of the changes, see Superintendent of Insurance Bulletin 01-2017 (PDF, 75 KB).
See the automobile insurance page for the following documents:
This report is for insurance underwriting purposes only, and required only if the vehicle is 12 years or older. A Certified Automotive Technician must complete the report.
This form replaced the former form effective September 1, 2018. See related Notice 05-2018: Updated Automobile Insurance Motor Vehicle Inspection Report (PDF, 353 KB) – 2018
See Information for insurers for forms, filing requirements and the Insurance Regulatory Information System (IRIS).
The following form is used for insurance claim disputes only, under Section 519 of the Insurance Act. For complete information on the Dispute Resolution Process, see insurance consumer complaints.
If you have trouble opening fillable PDF forms, see the Forms page for instructions.
Connect with the Office of the Alberta Superintendent of Insurance:
Hours: 8:15 am to 4:30 pm (open Monday to Friday, closed statutory holidays)
Phone: 780-643-2237
Toll free: 310-0000 before the phone number (in Alberta)
Fax: 780-420-0752
Email: [email protected]
Address:
Alberta Superintendent of Insurance
Alberta Treasury Board and Finance
Financial Sector Regulation and Policy
402 Terrace Building
9515 107 Street
Edmonton, Alberta T5K 2C3
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