The following table lists FSRA forms searchable by title, number, sector and category. Each form has been created in a PDF format which you can download, complete in Adobe Reader and save to your computer. See the General Information page for more details.

Note: forms that were previously posted on the Financial Services Commission of Ontario (FSCO) site have been transferred to this table. We are working on updating these older forms to the new FSRA standard. Please reach out to our contact centre if you require assistance.

 

Showing 1 to 181 of 181 entries
Sector Title Number Last Updated
Pensions Superintendent's Checklist for Compliance on Plan Wind up for Defined Benefit Plans 1171
Pensions Form 9 - Actuarial Information Summary Form 9
Auto OPCF 20: Coverage for Transportation Replacement 1309
Auto OPCF 17: Reinstatement of Coverage 1301
Auto OPCF 16: Suspension of Coverage 1300
Auto Notice to Applicant of Dispute Between Insurers 1255
Auto O.E.F. 71: Excluding Owned Automobiles Endorsement (for Ontario Garage Automobile Policy O.A.P. 4)(Effective: January 1, 2001)​ 1095
Auto O.E.F. 83: Automobile Transportation Endorsement 1112
Auto OPCF 38: Agreed Limit for Automobile Electronic Accessories and Equipment​ 1071
Auto O.E.F. 73: Excluding Financed Automobiles Endorsement (for Ontario Garage Automobile Policy O.A.P. 4) 1097
Auto O.E.F. 70: Named Chauffeur Endorsement Ontario Garage Automobile Policy (O.A.P. 4)​ 1094
Auto O.E.F. 78: Reduction of Coverage for Named Persons Endorsement 1102
Auto O.E.F. 76: Additional Insured Endorsement 1100
Auto Certificate of the Officer for Auto Insurance Attestation (Facility Association) AF-008
Auto OPCF 29: Additional Coverage For Named Person(s)​ 1070
Auto OPCF 27B: Business Operations - Liability for Damage to Non-Owned Automobile(s) in Your Care, Custody or Control​ 1067
Auto O.E.F. 77: Liability for Comprehensive Damage to a Customer's Automobile Endorsement 1101
Auto O.E.F. 75: Open Lot Theft Endorsement - Customers' Automobiles (O.E.F. 75) 1099
Auto O.E.F. 84: Owned Automobiles - Agreed Limit for Automobile Electronic Accessories and Equipment 1113
Auto O.E.F. 74: Open Lot Theft Endorsement - Owned Automobiles (O.E.F. 74) 1098
Auto O.E.F. 80: Specified Owned Automobile Physical Damage Coverage 1106
Auto O.E.F. 78A: Excluded Driver Endorsement 1103
Auto OPCF 28A: Excluded Driver​ 1069
Auto OPCF 47: Agreement not to Rely on SABS Priority of Payment Rules 1078
Auto OPCF 40: Fire Deductible​ 1072
Auto O.E.F. 81: Garage Family Protection Endorsement 1107
Auto O.E.F. 79: Owned Automobiles - Fire and Theft Deductible Endorsement 1104
Auto OPCF 44R: Family Protection Coverage​ 1076
Auto O.E.F. 86: Customer's Automobiles - Fire & Theft Deductible Endorsement 1115
Auto OCF-4: Death and Funeral Benefits Application 1007
Auto OPCF 5: Permission to Rent or Lease Automobiles and Extending Coverage to the Specified Lessee(s)​ 1058
Auto OPCF 5C: Permission to Rent or lease (unspecified lessees- short term leases only)​ 1060
Auto OPCF 43A: Removing Depreciation Deduction for Specified Lessee(s) 1075
Auto OPCF 21B: Blanket Fleet Coverage for Ontario Licenced Automobiles 1062
Auto O.E.F. 98B: Reduction of Coverage for Lessees or Drivers of Leased Vehicles Endorsement 1118
Auto OPCF 43: Removing Depreciation Deduction​ 1074
Auto O.E.F. 110: Reduced Coverage for Lessees or Drivers of Leased Vehicles Endorsement 1119
Auto O.E.F. 98A: Excluded Driver 1117
Auto O.E.F. 82: Liability for Damage to Non-Owned Automobiles and Drive Other Automobiles - Named Persons Endorsement 1109
Auto Direct Compensation - Property Damage Undertaking 1260
Auto Protected Defendant Undertaking 1244
Auto OPCF 28: Reducing Coverage for Named Persons​ 1068
Pensions Form 10 - Request for Superintendent's Approval of Commuted Value Transfers 1164
Auto OCF-6 Expenses Claim Form 1227
Auto O.E.F. 87: Added Coverage to Offset Tort Deductible 1234
Auto OCF-10 Election of Income Replacement, Non-Earner or Caregiver Benefit 1228
Auto OPCF 27: Liability for Damage to Non-Owned Automobile(s) and Other Coverages When Insured Persons Drive, Rent or Lease Other Automobiles​ 1238
Auto OPCF 48: Added Coverage to Offset Tort Deductibles​ 1239
Auto OPCF 2: Providing Coverage When Named Persons Drive Other Automobiles or Rent or Lease Other Automobiles 1235
Auto OCF-5: Permission to Disclose Health Information 1225
Insurance Life Insurance Replacement Declaration 1277
Pensions Form 2.1 - Pension Benefits Guarantee Fund Assessment Certificate (PBGF) 1241
Pensions Form 8 - Investment Information Summary 1161
Pensions Form 4 - Waiver of Pre-Retirement Death Benefit 1166
Pensions Form 3 - Waiver of Joint and Survivor Pension 1165
Pensions Form 1.2 - Individual Pension Plan Certification 1306
Pensions Form 1 - Application for Registration of a Pension Plan 1158
Mortgage Form 2.1 – Renewal Form Waiver: To Reduce the Waiting Period 1326
Mortgage Form 1.1 – Investor/Lender Disclosure Statement for Brokered Transactions: Addendum for Construction and Development Loans 1324
Mortgage Form 1 – Investor/Lender Disclosure Statement for Brokered Transactions 1153
Mortgage Form 1.2 – Investor/Lender Disclosure Statement for Brokered Transactions: Waiver for Reducing the Waiting Period 1325
Mortgage Form 2 – Renewal Form 1154
Mortgage Mortgage Brokerage Declaration of Compliance 1190
Auto Settlement Disclosure Notice 1222
Auto OPCF 25A: Alteration 1211
Auto OCF-19: Application for Determination of Catastrophic Impairment 1331
Auto O.E.F. 72: Multiple Alteration Endorsement​ 1232
Auto OCF-1: Application for Accident Benefits​ 1224
Auto OAF 1: Ontario Application for Automobile Insurance Owner's Form ​ 1213
Auto O.E.F. 85: Final Premium Computation Endorsement 1233
Auto O.A.F. 2 : Ontario Application for Automobile Insurance Driver's Form 1231
Auto OCF-3 Disability Certificate 1226
Auto Form 1: Assessment of Attendant Care Needs 1223
Auto OCF-2: Employer's Confirmation Form 1003
Auto Certificate of Automobile Insurance (Ontario)​ 1201
Auto Standard Benefit Statement 1332
Auto OPCF 21A: Monthly Basis Reporting Fleet (Applicable to Ontario licensed automobiles)​​ 1237
Auto O.A.F. 4: Ontario Application for Automobile Insurance Garage Form​ ​ 1214
Auto Garage Certificate of Insurance - Ontario​ 1240
Auto OCF-24: Minor Injury Treatment Discharge Report ​ 1220
Auto OPCF 3: Drive Government Automobiles 1236
Auto OCF-21: Auto Insurance Standard Invoice 1208
Auto OCF-23: Treatment Confirmation Form 1209
Auto OCF-18: Treatment and Assessment Plan 1207
Pensions Form 11 - Letter of Credit Certificate 1294
Insurance Licensing Link Agreement 1147
Pensions Statement of Family Law Value (Ontario PRPP Form ON-C) 1345
Pensions Joint Declaration of Period of Spousal Relationship (Ontario PRPP Form ON-B) 1343
Pensions Application to Transfer the Family Law Value (Ontario PRPP Form ON-D) 1346
Pensions Certification(s) Regarding Spouse – Withdrawal/Transfer from a Locked-in Account (Ontario PRPP Form ON-2) 1344
Pensions Application for Family Law Value (Ontario PRPP Form ON-A) 1342
CU-CP Application for an extra-provincial registration for a Credit Union or Caisse Populaire 1383
Auto O.E.F. 120: Reduction of Coverage for Lessees or Drivers of Leased vehicles Endorsement 1120
Pensions Form 14 - Statement of Investment Policies and Procedures (SIPP) Information Summary 1328
Mortgage Mortgage Administrator Licence Application(For Corporations, Partnerships, Sole Proprietors) 1155
Mortgage Mortgage Brokerage Application Form 1156
Pensions Form 4.1 - Waiver of Survivor’s Benefit from an Ontario Locked-in Account (LIRA, LIF or LRIF) 1248
Insurance Application for Surrender of an Insurance Adjuster Licence 1322
Loan & Trust Application for Loan and Trust Corporation Registration 1198
Pensions Form 2.2 - Pension Benefits Guarantee Fund (PBGF) Assessment Certificate S-1394
Mortgage Application for Surrender of Mortgage Brokerage Licence 1302
Pensions Form 4.2-Waiver of Survivor benefit from a from a registered pension plan by a spouse of a non-resident former member 1395
Mortgage Form 3.2.1 – Supplemental Disclosure for Retail Investors in a High-risk Syndicated Mortgage MF-004
Mortgage Form 3.1 – Suitability Assessment for Investor/Lender in a Non-Qualified Syndicated Mortgage MF-006
Mortgage Form 3.2 – Disclosure Statement for Investor/Lender in a Non-Qualified Syndicated Mortgage MF-007
Mortgage Form 3.0 – Information about Investor/Lender in a Non-Qualified Syndicated Mortgage MF-005
Mortgage Mortgage Brokerage Pre-Payment Authorization Form MF-010
Insurance Corporation/Partnership Application For Insurance Adjuster IF-015
Insurance Insurance Adjuster Application IF-016
Insurance Insurance Company Pre-Payment Deposit Authorization Form IF-017
Pensions Form VB 5 - Direction of Spouse as Specified Beneficiary to Continue Receiving Variable Benefit Payments PF-103
Pensions Form VB 3 - Direction of Retired Member to Transfer an Amount out of a Variable Benefit Account PF-101
Pensions Form VB 1 - Waiver of Joint and Survivor Pension - Variable Benefit Account PF-099
Pensions Form VB 6 - Direction of Spouse as Specified Beneficiary to Transfer an Amount out of a Variable Benefit Account PF-104
Pensions Form VB 4 - Spousal Waiver of Death Benefit from a Variable Benefit Account PF-102
Pensions Form VB 2 - Application to Withdraw or Transfer up to 50% of Amount Transferred to a Variable Benefit Account PF-100
All Sectors Credit Card Authorization Form GF-005
Pensions DFC1 - Election Form to Defer Certain Contributions PF-108
Pensions Form 5.2 - Application to withdraw or transfer up to 50% of the money transferred into a Schedule 1.1 LIF PF-106
Pensions DFC3 - Contribution Deferral Statutory Declaration PF-111
Pensions DFC2 - Schedule to Defer Certain Contributions PF-107
Mortgage Request for Licensee Information from FSRA GF-006
Insurance Request for Licensee Information from FSRA GF-006
Pensions FL-VB2 - Joint Declaration of Period of Spousal Relationship – Variable Benefit Account (FSRA Family Law Form) PF-113
Pensions FL-VB1-Application for Family Law Value – Variable Benefit Account FSRA Family Law Form PF-109
Pensions FL-VB3 - Contact Person Authorization – Variable Benefit Account (FSRA Family Law Form) PF-114
Pensions FL-VB5-Application to Transfer the Family Law Value - Variable Benefit Account FSRA Family Law Form PF-110
Pensions FL-VB4 - Statement of Family Law Value - Variable Benefit Account (FSRA Family Law Form) PF-115
Pensions Form 15.2 – Consent Form: Spouse PF-118
Pensions Form 15.3 – Consent Form: Other Person PF-119
Pensions Form 15.1 – Consent Form: Member PF-117
Pensions Form 15 – PBA Exemption Election Form PF-116
Pensions Form 5 - Application to Withdraw or Transfer Money from an Ontario Locked-in Account PF-112
All Sectors Complaint Form IF-018
Pensions Actuary’s Certification Defined Benefit Single Employer Pension Plan (SEPP) to Jointly Sponsored Pension Plan (JSPP) Transfer under Section 80.4 PF-122
Pensions Asset Transfer Application Summary - (Transfers under PBA s. 80.4) PF-121
Pensions Actuary’s Certification - Defined Benefit Single Employer Pension Plan (SEPP) to SEPP Transfer under Section 80 or 81 PF-124
Pensions Asset Transfer Application Summary (Transfers under PBA s. 80 and 81) PF-123
Pensions Wind Up Report For Defined Contribution Pension Plans PF-105
Pensions Family Law Form FL–8: Post-retirement Waiver of Survivor Pension After Separation (Optional) PF-128
Pensions Family Law Form FL–6: Spouse’s Application to Divide a Retired Member’s Pension PF-126
Pensions Family Law Form FL–4D: Statement of Family Law Value – Former Plan Member PF-134
Pensions Family Law Form FL–1: Application for Family Law Value PF-132
Pensions Family Law Form FL–4A: Statement of Family Law Value – Defined Contribution Benefit PF-129
Pensions Family Law Form FL–6S: Spouse’s Application to Divide a Retired Member’s Pension – Special (Combined Option) PF-127
Pensions Family Law Form FL–5: Spouse’s Application for Transfer of a Lump Sum PF-125
Pensions Family Law Form FL–4E: Statement of Family Law Value – Retired Member with a Defined Benefit Pension PF-135
Pensions Family Law Form FL–4C: Statement of Family Law Value – Active Member of a Plan with Defined Benefit and Defined Contribution Provisions PF-133
Pensions Form 7.2 – Non-Receipt of Form 7 Reporting Form PF-139
Auto Application for Automobile Insurance Exemptive Authority Activity Test and Learn Environment (TLE) AF-058
Auto O.E.F. 111 Electronic addition endorsement (for attachment only to the Standard Excess Automobile Policy S.P.F. No. 7) AF-057
Auto O.A.P. 4: Ontario Garage Automobile Policy OAP4
Auto OAP 1: Ontario Automobile Policy Owner's Policy OAP1
Mortgage MBRCC-FSRA Accreditation Application Checklist MF-012
Auto O.P.F. 2: Ontario Driver's Policy OPF2
Pensions Family Law Form FL–4B : Statement of Family Law Value – Active Plan Member with a Defined Benefit PF-131
Pensions Form 7.1 - Non-Remittance/Variance of Contributions Reporting Form PF-137
Auto OPCF 23B - Mortgage (broad form) AF-059
CU-CP Request for Additional Brochures and Decals CF-004
Pensions Form 7 - Summary of Contributions PF-138
Pensions Form 1.1 – Application for Registration of a Pension Plan Amendment PF-120
Pensions Form 2 - Annual Information Return (AIR) PF-141
CU-CP Mortgage Discharge Request Form CF-003
Pensions Financial Hardship Unlocking – Form FHU 4 PF-098
Pensions Financial Hardship Unlocking – Form FHU 2 PF-096
Pensions Financial Hardship Unlocking – Form FHU 1 PF-095
FP/FA Credentialing Body Annual Information Return (AIR) FPF-002
Pensions Financial Hardship Unlocking – Form FHU 3 PF-097
FP/FA Application for Approval of a Credentialing Body and Credentials FPF-001
Mortgage Application for surrender of a mortgage agent level 1, agent level 2, or mortgage broker licence MF-015E
Mortgage Application for Surrender of Mortgage Administrator Licence MF-014E
Auto Insurer Remittance Form for Disputes Between Insurers Arbitration Decisions AF-082
All Sectors Standard Application to the Test and Learn Environment (TLE) Requesting FSRA Exercising Regulatory Discretion GF-009
Auto Certificate of the Officer for Auto Insurance Attestation AF-007
Insurance Application for Surrender of an Insurance Agent or Corporate/Partnership Insurance Agent Licence IF-022
Auto OPCF 23A: Lienholder Protection AF-067E
Auto OPCF 6F: Public Passenger Vehicles - Combined Limits AF-064
Auto OPCF 6B: School Bus AF-062
Auto OPCF 49 Agreement Not to Recover for Loss or Damage from an Automobile Collision (for Ontario Automobile Policy OAP 1) AF-081
Auto OPCF 19A: Agreed Value of Automobiles AF-065
Auto OPCF 6C: Public Passenger Vehicles AF-063E