2005/2006 Insurance Forms


ASN Canada FIA is proud to offer insurance services working with our partner Jones Brown Motorsport.
Jones Brown Motorsport Insurance, their agents and insurance suppliers are fully licenced federally and provincially to provide insurance protection
under the Canadian Department of Justice Insurance Companies Act regulations.

Insurance, acquired only through ASN Canada FIA, is a requirement for affiliation to ASN Canada FIA.
Only organizations that are affiliated to ASN Canada FIA and in good standing, are eligible to apply for insurance coverage.

If you are an affiliated club and need information about our insurance plan please contact our office by email  - [email protected]

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  Summary Of Insurance Coverage

 

Insurance Rate Sheet Effective April 1, 2005

 

GL & D&O Application Form - Use with ENCON Form

 

ENCON Directors' & Officers' Insurance Information Form

 

Event Insurance Application

 

Event Report

 

Incident Report

 

Claim Form

 

Waiver - General Waiver - French

 

Waiver - General Waiver - English

 

Waiver - Mineur Waiver - French

 

Waiver - Minor Waiver - English

  Waiver - Annual Parental Consent - French
  Waiver - Annual Parental Consent - English

 

 

 

 

 

 

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