novascotia.ca - Nova Scotia Canada - Government of Nova Scotia

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Use the Services Directory to quickly access information on all of the services provided by the NS Department of Finance.

Insurance Forms

Consumer

Insurance Enquiry and Complaint Form  (pdf)

Industry

  • NS Automobile Standard Policy Form 1 - 2013 (pdf)
  • NS Automobile Standard Policy Form 1 - 2005 (pdf)
  • Canadian Council of Insurance Regulators Application for Insurer’s Licence (pdf)
  • Corporate Insurance Licence Application (pdf)
  • Direct Compensation - Property Damage Undertaking (pdf)
  • Individual Insurance Licence Application (pdf)
  • Insurance Exam Registration Form (pdf)
  • Insurer Licence Renewal Form (pdf)
  • Life Insurance Replacement Declaration (pdf)
  • Trust Account Reconciliation Worksheet (pdf)
  • Extra-Provincial Trust Account Filing Questionnaire (pdf)
  • Nova Scotia Accident Benefits Initial Claims Process (pdf)
  • Notice of Loss and Proof of Claim Form NS-1 (pdf)
  • Claim for Disability Benefits NS-1a (pdf)
  • Treatment Plan NS-2 (pdf)
  • Confirmation of Services Provided NS-2a (pdf)
  • Progress Report NS-3 (pdf)
  • Concluding Report NS-4 (pdf)
  • Referral Form NS-5 (pdf)

     

    Quarterly Tax Forms

    • First Quarter General Premium (pdf) (doc)
    • First Quarter Life Premium (pdf) (doc)
    • Second Quarter General Premium (pdf) (doc)
    • Second Quarter Life Premium (pdf) (doc)
    • Third Quarter General Premium (pdf) (doc)
    • Third Quarter Life Premium (pdf) (doc)

    Other Tax Forms

    • Annual Fire Prevention Tax Form (pdf) (doc)
    • Annual General Premium Tax Form (pdf) (doc)
    • Annual Life Premium Tax Form (pdf) (doc)

    See also:

    • Center for Studies in Insurance Operations (CSIO)
      CSIO creates and maintains Standard forms on behalf of the Canadian P&C Insurance Industry. They are designed for paper and electronic use.
    • Informco
      Informco provides the property and casualty insurance industry with policy documents.
  • Insurance

    Orange ClockFor More Information

    Tel: 902.424.5613
    Fax: 902.424.1298
    Email: gov.ns.ca