Policyholder

Please fill in the information below.

Are you already a member of the Chartered Administrators Order of Quebec (Adm.A)?

Existing member
New member

All fields are mandatory.

*Title:

*First name:

*Last name:

*Email:

*Phone:

*Country of residence:

Canada
Other

All fields are mandatory.

*Indicate your membership number

*Title:

*First name:

*Last name:

Is your contact information below correct? Select "no" to update your information.

*Email:

*Phone:

Address

*Country of residence:

Canada
Other

*Street number & street name:

Apartment/Office/box number:

*City:

*Province:

*Postal code:

We were unable to retrieve your contact information.

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*Email:

*Phone:

*Country of residence:

Canada
Other

Professional Details

Please fill in the information below to obtain an estimation of your premium.

*What are your estimated total annual gross revenues?

*What percentage of your revenues is represented by each of the Admin.A services detailed below?

• Establishment, direction and/or management of public or private bodies or businesses

• Structuration or restructuration of organizations or businesses

• Coordination and control of production or distribution methods

• Management of the property of others (movable or immovable)

• Financial planning advice (excluding the sale of financial products)

• Bookkeeping

• Policy-making in economic or financial matters

• Management consulting

Total (the total must be 100%):

*Do you offer your services directly to third parties under the name of a company that you own or of which you are the majority shareholder (registered company, corporation, partnership, etc.)? ?

*Do you exercise professional activities outside Canada?

Yes
No
Other

Insurance Details

*What is the insurance limit required?

*In the past 5 years, has any claim been made against you or your company in connection with your activities as a Chartered Administrator?
(please refer to the list of Adm.A services above)

Premium Estimation

Coverage is only for ADMA approved activities.

To obtain an estimation of your premium, click on "Calculate".

ProposalAdditional Professional Liability Insurance

Policyholder

Professional Details

Insurance Details

Premium Estimation

Proposal
Additional Professional Liability Insurance