J.M. Johnson Insurance Agencies Ltd.

"Family Business Since 1950"

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Automobile Insurance

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Manitoba Public Insurance (AUTOPAC) forms Download
Bill of Sale (to download form to be completed online click here)
Letter of Gift

Retail Sales Tax application for refund
Personalized License Plate application
Veteran License Plate application
New Manitoba Residents form
Combat Auto Theft (CAT) enrollment form
Authorization Forms

MPI Authorization form - if you are unable to attend either of our offices to renew or change coverage on your Autopac, you can simply download this form, complete it (make sure to include your Autopac Customer number and/or Driver's License number) and either send it along with someone else to complete the transaction for you or fax it in to either of our offices and we will act on your behalf to complete the transaction.  If you choose the latter and a payment is required, a credit card number will be needed in order to proceed with the transaction.  However, if you are already enrolled in the monthly pre-authorized payment plan through MPI, then your payments will be adjusted accordingly.

 

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Personal Insurance

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If you have Microsoft Word, you can download the Word version of certain documents in two ways:  (1) click on the icon to open the document in a new window (if you should be prompted for a user name and password click "Cancel" to bypass) and complete it online, print out and return via fax or mail (2) right click on the icon and choose "Save Target As", this will allow you to save a copy on your computer to complete, save and return via email

 

 

Application Forms

Download

Personal Insurance Application Form  

Additional Forms

Download

Sewer Backup Questionnaire
Payment Forms
ING Easypay - pre-authorized monthly debit plan
SMI MAC/Credit Card Payment
Wawanesa MAC - pre-authorized monthly debit plan
Wawanesa Credit Card Payment

 

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Commercial Insurance

Adobe Reader is required to view "PDF" files.  Adobe Reader

 

If you have Microsoft Word, you can download the Word version of certain documents in two ways:  (1) click on the icon to open the document in a new window (if you should be prompted for a user name and password click "Cancel" to bypass) and complete it online, print out and return via fax or mail (2) right click on the icon and choose "Save Target As", this will allow you to save a copy on your computer to complete, save and return via email

 

Application Forms

Download

Aircraft Application  
Business Insurance Policy (BIP) Application
Contractors Bond Application  
Director's & Officer's Liability Application - Condominiums  
Director's & Officer's Liability Application - For Profit

 

Employee Dishonesty Application
Hotel Application
Misc. Bonds Application - AXA
Misc. Bonds Application (Short Form) - AXA
Pilot Application
Special Events Liability Application

Additional Forms

Download

Personal Worth Statement (bonds)
Privacy Disclosure and Consent
Products Liability Questionnaire
Safe Classifications and Requirements

 

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J. M. Johnson Insurance Agencies Ltd.

1-800-876-9698

Winnipeg, Manitoba, Canada

                     

 

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