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PDF Fillable/saveable: Request for Licensee Information (size 1.3 Mb)

Last Update: August 2021

Form details

Form No.: GF-006E
Title: Request for Licensee Information from FSRA
Sector: Insurance, Mortgage Brokering
Purpose of Form:

  1. request a certificate confirming the licence status of an individual, partnership, corporation, company; or
  2. request the licensing history of an individual, partnership, corporation, company; or
  3. request the licensing history of a mortgage agent or mortgage broker be submitted to another regulator for the purpose of reciprocal licensing.

Instructions on How to Use the Form: Instructions are included in the form.