ICBC Transaction Request

Please read the following statement and conditions. If you’re in agreement and approve to communicate and send/receive documentation using email please check the "yes" box below. “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: 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. Depending on your email provider, information we send to you may be stored outside of Canada. If you delete email messages from Peake & Richmond Ltd, backup copies could still be on your computer or in cyberspace. 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.” *

Yes

Name *

First Name

Last Name

***Photo of odometer required on day renewal is processed*** *

ICBC will be offering additional discounts for different amounts of distance driven each year. You must provide vehicles odometer reading to qualify for a potential discount on your next renewal.

I Understand

I agree and understand my insurance is NOT renewed and my coverage will NOT take effect until a licensed insurance representative has contacted me and has confirmed coverage is bound. *

I accept

Due to a high number of transactions, please know it may take 1-2 business days to respond. Thank you for your patience. *

I Understand