Reason for ICBC Auto Request*
Important: By ticking this box and typing my name, I consent Chilliwack Insurance Agencies Ltd. to accessing my ICBC account for policy details and if applicable I consent to receiving my personal information, insurance forms and, if applicable, banking information by email.
I agree and understand my insurance is NOT renewed and my coverage will NOT take effect until a licensed insurance representative has contacted me and has confirmed coverage is bound.
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