Autoplan Renewal Form

Put your mind at ease by means of car insurance. We provide complimentary delivery and you can even fill out our form below to be contacted shortly!

Name

Phone Number

I Need to

Driver's License Number

License Plate Number

Date of Birth

Insurance Expiry Date

Additional Drivers License & Date of Birth

Additional Information

Notes

Important - Terms of Service

By ticking this box, I consent to a Allena Chong Insurance Broker accessing my ICBC account for policy details.
I agree to the terms of service

Do you consent to receiving your personal information, insurance forms and, if applicable, banking information by email? *
I agree to the terms of service

I understand that after my transaction is processed, I will be sent an email with my policy documents. ICBC requires me to respond to that email and tell them if I have accepted my policy terms. I’ll be given options to confirm my acceptance. *
I agree to the terms of service

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Autoplan Renewal Form

Autoplan Renewal Form

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