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Welcome, just a few quick questions to get your insurance rolling.

Full Name*

Email Address*

Phone Number*

I need to:*

Date of Birth*

Please provide your date of birth as it appears on your driver's license.

Driver's License Number*

Enter your BC driver's license number

License Plate Number*

Enter your BC license plate

Adding Drivers? License and DOB Needed

Please provide the driver's license number and date of birth for all household members or employees, even if they only occasionally drive your vehicles. Additionally, any non-household individuals who operate your vehicles 12 times or more in a year must also be included on the policy.

Low mileage can mean lower rates. If you drive less than 10,000 km per year, you could be eligible for a discount on your ICBC optional insurance. Should we apply it to your policy?*

Yes

If you earn over $113,000 annually and don't have income replacement coverage through your employer or another source, you may want to consider additional ICBC optional coverage to supplement your income replacement benefits. Would you like more information about income top-up coverage?*

Yes

Do you decline Income top up coverage?*

Yes

Consent For Email Communication

I, (Full Legal Name)*

I consent to the details specified below.*

Your privacy is very important to us. Saxbee insurance wants to make sure your personal information remains safe and protected.

This is a consent for communicating by email and sending/receiving your personal information, insurance forms, and if applicable banking information by email. It is important that you understand the following conditions:

1. Getting your information by email message may not always be secure. Your email could be broken into and your information could be seen, shared with others, or changed without your permission. We recommend deleting information from your email to reduce the risk to you.

2. Depending on your email provider, information we send to you may be stored outside of Canada.

3. If you delete email messages from Saxbee backup copies could still be on your computer or in cyberspace.

4. After your transaction is processed, you will be sent an email with your policy documents. ICBC requires you to respond to that email and tell us if you have accepted your policy terms. You'll be given options to confirm your acceptance.

Additional Information / Notes