Please download and fill out the PDF application (you can either print and then scan it, or fill it out electronically and save it as a PDF file), then email the finished application to info@cannabisinsurancecanada.com or Fax to 905-574-8860

Application for

Medical Marijuana

Licensed Producers, Clinics, Testing Laboratories, Ancillary Businesses, Cultivators Processors and Manufacturers

To Include Liability Coverage this must be completed as well

Available Only For Ontario, Alberta & British Columbia

Application for

Medical Marijuana

Unlicensed Producers and Landlords Only

Available Only For Ontario, Alberta & British Columbia

Application for

Retail

Retail and Dispensaries Only

Available Only For Ontario, Alberta & British Columbia

Application for

Group Benefits

Minimum 3 Individuals

Available Only For Ontario, Alberta & British Columbia

Application for

Life Insurance

Available Only For Ontario