Broker / Agent Login




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Section 1

Reference #
13-79043


Please enter all your brokerage information in the fields below.

For Property/ Casualty Insurance Professional Only.

Problem registering? Some browsers may cause issues. If you are having trouble please call your PAL regional office and we would be happy to assist.
  • East - 1-800-265-8098
  • West - 1-800-661-1608


Upon approval, you will gain access to all PAL's broker applications and rates.
First Name: * 
   
Last Name: * 
   
Brokerage: * 
   
Brokerage Address: * 
   
City: * 
   
Province: * 
 
Postal Code: * 
   
NOTE: Your email address will also be used as your username when logging in as a broker.
Email: * 
   
Phone: * 
   
Company Accounts Contact: * 
   
Accounts Email: * 
   
Are you a licensed Property/ Casualty Insurance Professional?: * 
               
Does your brokerage / agency carry a valid E & O policy?: * 
               
Are you an MGA or wholesaler?: * 
               
Allow PAL to send you email related to the products you purchase?: * 
               
Please be patient, your registration will be activated within the next 15 minutes. If your request is received after 4:30 MST/ 6:30 EST, registration will be activated on the next business day only.
   

HELPFUL INFORMATION
Here are a few things to try to get your certificate successfully:
  1. Check the screen for any error messages. They will appear in red above the location of the error.
  2. Double check your information to make sure it has been entered correctly.
  3. You can always start over from scratch if you are having issues.
  4. You may want to try a different browser. Sometimes the settings of a certain browser may cause a problem and using a different browser will allow you to complete your submission.

HELPFUL INFORMATION
Here are a few things to try to get your certificate successfully:
  1. Check the screen for any error messages. They will appear in red above the location of the error.
  2. Double check your information to make sure it has been entered correctly.
  3. You can always start over from scratch if you are having issues.
  4. You may want to try a different browser. Sometimes the settings of a certain browser may cause a problem and using a different browser will allow you to complete your submission.
 

CUSTOMER SERVICE
E-mail:  ontario@palcanada.com
Phone: 1-800-265-8098
Hours: Ontario 8:30am to 4:30pm EST Alberta 8:30am to 4:30pm MST

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