• This form is to be used by existing members to update their insurance business registration following an amalgamation of two or more business entities. If the amalgamation involves five or more RIBO licensed entities, please email licensing@RIBO.com
  • All applicable questions must be answered. If there are no changes to items following the amalgamation, please note this, where applicable.
  • It is an offence under the Registered Insurance Brokers Act to knowingly make a false representation or declaration on this application and/or attachments, and doing so may be sufficient grounds under the Registered Insurance Brokers Act to reject the application or revoke a license.

Pursuant to Section 26 of the Registered Insurance Brokers Act, the information provided in this form is privileged and confidential.