Ministry Certificate of Insurance

For instruction/assistance when completing this form please hold your cursor over the fields of the form. Both pages 1 and 2 are required for submission.

NOTE: This Certificate of Insurance must be submitted fully completed and without any alteration or change made to the terms and conditions set out in this Certificate. Any alteration or change to the terms and conditions set out in this Certificate will likely render this Certificate null and void and will likely result in the Ministry of Transportation rejecting this Certificate.

Should you have any questions, please contact the Manager, Insurance and Bonds at (250) 387-7580

Ministry Certificate of Insurance

Please note: Once the fields of this form have been filled in electronically it cannot be saved or copied by Acrobat Reader to a new file. The form can be printed as it is filled out, but an electronic copy will not be available. Saving copies or changes (including information entered into a form) is only possible with the full version of Acrobat.