Your Insurance Self-Serve Centre | Mitchell & Whale Ltd.

Easily manage your policy when it’s convenient for you.

Select Form:

COVID-19 Enquiry

Please complete all fields within the form below.

First Name *

Last Name *

Email Address *

Phone Number *

Select preferred method of contact? By Email By Phone

Contact Email

Best time to contact you *

How Can We Help?

COVID-19 Changes

Please complete all fields within the form below.

First Name *

Last Name *

Email Address *

Phone Number *

Postal Code *

Have your driving habits change significantly during the pandemic? Yes No

Explain how your driving habits have changed

Vehicle #1

Vehicle Make *

Vehicle Model *

Vehicle Year *

Policy Number

If you are still commuting to work, how many KM’s one way?

Total Annual KM Driven

Select preferred method of contact By Email By Phone

Contact Email

Best time to contact you *

Additional Comments

Change Address

Please complete all fields within the form below.

First Name *

Last Name *

Email Address *

Policy Number *

Current Address *

New Address *

Current Phone Number *

New Phone Number *

Effective Date of Change *

New KM Distance to Work, One-way *

Total Annual KM Driven *

Other Licensed Drivers in Household? Yes No

If you have your home, condo or tenants insured with us we have a bunch more info we’ll need. Check this box and we can have a broker reach out to gather the additional information.

Driver #1

First Name

Last Name

Name of Insurance Company

Policy Number

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Contact Email

Best time to contact you *

Additional Comments

Change Vehicle

Please complete all fields within the form below.

First Name *

Last Name *

Email Address *

Address *

Phone Number *

Policy Number *

Year of Vehicle to be Changed *

Make of Vehicle to be Changed *

Model of Vehicle to be Changed *

VIN of Vehicle to be Changed *

Reason For the Change *

Coverage to be Changed *

Effective date of Vehicle to be changed *

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Contact Email

Best time to contact you *

Additional Comments

Remove Vehicle

Please complete all fields within the form below.

First Name *

Last Name *

Email Address *

Phone Number *

Policy Number *

Year of Vehicle to be Deleted *

Make of Vehicle to be Deleted *

Model of Vehicle to be Deleted *

VIN of Vehicle to be Deleted *

Effective Date of Deletion *

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Contact Email

Best time to contact you *

Additional Comments

Request Policy Documents

Please complete all fields within the form below.

First Name *

Last Name *

Email Address *

Address *

Request Document *

Details *

Policy Number *

Phone Number *

Method of Delivery? *

Select preferred method of contact? By Email By Phone

Contact Email

Best time to contact you *

Additional Comments

Cancel Policy

Please complete all fields within the form below.

First Name *

Last Name *

Email Address *

Address *

Policy Number *

Phone Number *

Effective Date of Cancellation *

Reason for Cancellation

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Contact Email

Best time to contact you *

Additional Comments

General Enquiry

Please complete all fields within the form below.

First Name *

Last Name *

Email Address *

Phone Number *

Select preferred method of contact? By Email By Phone

Contact Email

Best time to contact you *

How Can We Help?

Self-Serve Centre

Easily manage your policy when it’s convenient for you.

Vehicle #1

Driver #1

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