How To Apply

Apply online

You can apply online using our secure online application. Your information is encrypted to ensure your privacy and safety. Click here to get started.

Online application is only available if you are paying by VISA or MasterCard.

Mail your application

If you prefer, you can also download and complete an application form:

Please complete the appropriate form in full, and send to:

Industrial Alliance Pacific Insurance and Financial Services Inc.
Special Markets Group
2165 W. Broadway, PO Box 5900
Vancouver BC V6B 5H6

Apply by Fax

You can fax your completed application form toll-free at 1-888-553-5433.

Need help?

Call our toll free number at 1-800-266-5667 and an IAP Client Service Specialist can answer any questions you might have. Or, send us an email at group@iapacific.com and we will contact you within 1 business day.