Information for Consumers - Automobile Insurance

See the links to your right to access Automobile Insurance publications and forms.

CURRENT Standard Automobile Insurance Policies,
Certificate and Application Forms

Current Policies:

Current Certificates:

Current Application Forms:

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PREVIOUS Automobile Insurance Policies, Certificate and Application Form

Previous Policies:

Previous Certificate:

Previous Application Form:

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Automobile Insurance Endorsements

Only endorsement forms approved by the Office of the Superintendent of Insurance are applicable for use in Alberta - see Bulletin 03-2015.

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Automobile Insurance Motor Vehicle Inspection Report

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Automobile Insurance Complaints

See the Insurance Consumer Complaints Process page for information on Insurance Claim or Policy Complaints; Dispute Resolution Process; Insurance Conduct Complaints; and Insurance Industry Information.

You may also wish to view the What to do after an Auto Collision page.

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Automobile Insurance - Accident Benefit Claim and Minor Injury Prescribed Forms
and related Documents (for Consumers)

You may also wish to view the What to do after an Auto Collision page.

Please note: the prescribed Accident Benefit and Minor Injury forms have been updated as of May 2017. See related Superintendent of Insurance Bulletin 01-2017.

Notice from the Superintendent of Insurance regarding recreating these forms

Users may recreate these approved forms in order to ensure compatibility with their own software system. Section 803 of the Insurance Act (Act) provides the Superintendent of Insurance (Superintendent) the power to establish relevant forms. The position of the Superintendent is that the AB and MI forms’ format (i.e. size and colour of answer boxes, etc.) may be altered for compatibility with practitioners’ software, but any changes to the content of the forms (i.e. word order, phrasing, question order, etc.) or the addition of corporate logos is not allowed. Moreover, making content changes constitutes a breach of sections 507 and 551 of the Act and is an offence under section 780.

Users are responsible for updating their systems to remain current with any approved changes to forms in the future. If you wish to be notified of any future changes, please subscribe here. For technical support please email SA.FORMS@gov.ab.ca. For all other inquiries, please email TBF.Insurance@gov.ab.ca.

Accident Benefit Claim - Prescribed Forms

These pdf forms are fillable and saveable. If you have problems opening the forms, please see the instructions to your right.

Minor Injury - Amount effective Jan 1, 2017

Minor Injury - Prescribed Forms

Please note: the prescribed Accident Benefit and Minor Injury forms have been updated as of May 2017. See related Superintendent of Insurance Bulletin 01-2017.

These pdf forms are fillable and saveable. If you have problems opening the forms, please see these instructions.

Minor Injury - Certified Examiner Register

Injury Management Consultant Registers – Diagnostic and Treatment Protocols Regulation

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Page last updated:  December 5, 2017