Ontario Application for Automobile Insurance — Owner's Form

About this form

The standard form required when applying for automobile insurance in Ontario. Includes applicant information, vehicle details, driver records, and coverage selection.

The standard form required when applying for automobile insurance in Ontario. Includes applicant information, vehicle details, driver records, and coverage selection.

Who needs this form

All vehicle owners who need to purchase or renew auto insurance in Ontario

What's in this form

• Applicant personal information (name, address, phone, driver's license number)
• Vehicle information (year, make, model, VIN, usage, annual mileage)
• Driver information (name, license number, date of birth, relationship to policyholder)
• Insurance history (current insurer, policy number, expiry date)
• Past accidents and claims records
• Coverage types (third-party liability, accident benefits, uninsured auto, property damage)
• Optional additional coverage (collision, comprehensive, rental car)
• Declaration and signature

Published by

Financial Services Regulatory Authority of Ontario (FSRA)