First Name
Last Name
I declare that the statements made are true and correct, with my insurance to be based on the truth of these statements.
By submitting this update, you also declare that you have read or consent to PROtique Insurance’s Personal Information Policy (“Policy”) for the current and future collection, use and disclosure of personal information in accordance with the Policy. The Policy can be viewed at: www.protique.ca/privacy-policy.
Note that PROtique is operated by KRS Insurance Brokers Inc. Insurance is underwritten by Intact Insurance.
Once the submit button is clicked, the application is sent to PROtique. If editing is required, please do so BEFORE clicking the submit button.
