Online application for Accimum

Before applying online, please read these tips:

• Allow 5 to 10 minutes to complete your application form.
• You will need the following information to complete the form:
  • First and last names and ages of individuals to be insured
  • our credit card number
    or
    
  • Bank account number, transit and number of your financial institution, which are indicated on your cheques.
• You will be able to check your information and make any necessary changes to it before submitting your form.
• You will not be able to save your form, but you can print out the completed copy.

Apply now

If you need telephone assistance to complete the application form, call us toll free at 1 866 227-2646, Monday to Friday between 8:30 a.m and 5:00 p.m.