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ICBC INSURANCE RENEWAL REQUEST

Our offices are available by phone or email to assist you with your ICBC transaction. Please complete the form below and we will be in touch within 1 business day.

Name*

Email *

Phone*

Reason for ICBC Auto Request*

Date of Birth

Insurance Expiry Date

Driver's License Number

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.

Name

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.

Your message was sent successfully. Thanks.

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