Forms

All New Applicants using Form(s) 1, 2, 3 or 9 Must provide a Security Clearance (Criminal Record Check) with their application. Applications submitted without this document will not be processed.
ALL APPLICATIONS MUST INCLUDE YOUR CIPR# PLEASE ADD IT IN THE SPACE PROVIDED AT THE TOP OF THE APPLICATION FORM BEFORE YOU SEND IT TO THE AIC.

All of the applications below except those using the Form 5 must be accompanied by a fully completed and signed Errors & Omissions Reporting Form.

  • Applications received without this form will not be processed until the required information is provided.
  • We will accept signed, scanned copies of the Errors and Omissions Reporting Form by email.

Restricted Certificate applicants continue to enter this information on the Form 5.

Form 1 – Designated Representative for General, Life and Accident and Sickness Insurance recommended by an Insurer, must be accompanied by Corporate Form 6 application.

Form 3 – Designated Representative for Adjusting Firms, must be accompanied by Corporate Form 6 application.

Form 6 – Corporate application, required by all business other than Restricted holders and Limited Adjusters.

Form 5 – Restricted certificate holders such as Automobile Dealers, Marine Dealers, Recreational Dealers, Farm Implement Dealers, Construction Equipment Dealers,Travel Agency, Transportation Company, Deposit Taking Institutions, Sales Finance Company, Customs Broker and Freight Forwarder.

Form 8 – Limited Corporate Adjuster application, required by all business that operate as limited Adjusters ( Hail, Travel & Equipment Warranty) .

Form 9 – Limited Adjuster Application, required by all individuals that act as limited adjuster ( Hail, Travel & Equipment Warranty).

Subject to certain criteria being met, some CE Providers could be approved by the Accreditation Committee as Self Accrediting. CE Providers wishing to be considered by the Accreditation Committee for Self Accreditation must complete the “Form for Self Accreditation” below. Approval will be based on meeting the required criteria.

The fees applicable to single applications are $100.00 per course and for CE Providers the fee is $250.00 annually. The application fees are payable to the Alberta Insurance Council and must accompany any application for accreditation.

Effective March 1, 2016, paper applications are not longer being accepted.  All course requests must be submitted electronically as per the criteria set forth in the Instructions for Completing Request Form below.

Approved course results will be available online within one week after each Alberta Accreditation Committee meeting under Other Resources, then Popular Lookups, and then Continuing Education Course Lookup.  Letters will only be sent for declined courses or for those requiring follow up.

For course submissions, inquiries, etc. please email accreditation

Single Course Request

Self Accreditation Provider Request

Continuing Education Certificate(s)

  • All providers of continuing education must use one of the certificates listed below to comply with the approval that has been given by the committee.
  • Single Course Certificate
  • Multiple Course Certificate