Replacement Insurance  

Do you hold a replacement Insurance (Q.P.F No. 5) issued by La Capitale General Insurance or Canassurance, La Capitale’s authorized mandatary? 

Customer Service

Refer to the contact information below to reach our customer service department and click on the link to access the form to use in the event of termination.

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625 Jacques-Parizeau St., PO Box 17100
Québec (Québec)  G1K 9E2

Phone : 1 855 747-7820 or 418 747-7820
Fax : 1 844 781-1350 or 418 781-1350
E-mail : replacement.insurance@lacapitale.com

Cancellation Form (PDF - 1 page)

 

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625 Jacques-Parizeau St., PO Box 17100
Québec (Québec)  G1K 9E2

Phone : 1 855 747-7815 or  418 747-7815 
Fax : 1 844 781-1350 or 418 781-1350
E-mail : replacement.insurance@lacapitale.com

Cancellation Form (PDF - 1 page)


 

Claims

Refer to the contact information below to reach our claims department and click on the link to access the form to use in the event of a claim.

img-logo-lacap

625 Jacques-Parizeau St., PO Box 17100
Québec (Québec)  G1K 9E2

Phone : 1 855 747-7820 or 418 747-7820
Fax : 1 866 213-2103 or 418 641-4357
E-mail : fpq5@service-indemnisation.com

 

New Vehicle Total Loss Claim (PDF - 1 page)
Used Vehicle Total Loss Claim (PDF - 1 page)
Third-Party Payment Authorization (PDF - 1 page)
Confirmation of Settlement – Partial Loss (PDF - 1 page)
Insured’s Consent (PDF - 1 page)
Information Request – Common Client (PDF - 1 page)
Requisition – Original Replacement Part (PDF - 1 page)

img-logo-cana

625 Jacques-Parizeau St., PO Box 17100
Québec (Québec)  G1K 9E2

Phone : 1 855 747-7815 or 418 747-7815 
Fax : 1 866 213-2103 or 418 641-4357
E-mail : fpq5@service-indemnisation.com

 

New Vehicle Total Loss Claim (PDF - 1 page)
Used Vehicle Total Loss Claim (PDF - 1 page)
Third-Party Payment Authorization (PDF - 1 page)
Confirmation of Settlement – Partial Loss (PDF - 1 page)
Insured’s Consent (PDF - 1 page)
Information Request – Common Client (PDF - 1 page)
Requisition – Original Replacement Part (PDF - 1 page)