Endorsement Request Form - Saskatchewan
Please fill in only the information that is required for your change. If something doesn't partain to the change, please leave it blank.
There are 2 areas for uploading all supporting documents needed for the endorsement. All documents you add will be emailed to firstname.lastname@example.org once you've clicked submit.
A copy of the request and documents uploaded will also be sent to the broker email address entered.
Description of change needed
Endorsement Effective Date DD/MM/YYYY
Brokers Phone #
Insured's Address (if changed)
State / Province / Region
Postal / Zip Code
Please enter unit details here.
If the unit is a Snowmobile, is the unit plated?
If yes, list plate number.
Is the unit New or Used?
Delivery Date DD/MM/YYYY
Required on New Units
Required on New units.
Please select coverage.
Third Party Liability
Basic - $25,000
Enhanced - $50,000
Section C Upload
Please add the Inspection, Bill of Sale, or previous insurance if Sec C is required.
Modifications - Include value of modifications
Optional - Truck Deck or Trailer - Include Value
Lien Holder (if applicable) include name, address, city, prov and postal code.
Name of Principle Operator
Date of Birth DD/MM/YYYY
Drivers Licence #
Years Riding Experience
# of convictions in the last 3 years
# of claims in the last 3 years
Is the Insured a member of;
Turbos or after market enhancements
After Market Performace Enhancement Equipment
Safety Course - AQCC/CASI or Canadian Safetly Counsel?
Tracks for winter use?
If tracks will be added at anytime during the policy please check off the unit type
Safety Immobilizer or Spot Trace tracking device?
Business Use - if applicable
Will there be Business Use on any Units?
If there is buiness use on any of the units please fill out the information below.
% of Business
% of Pleasure
How many KM driven anually?
Please describe the nature of the business
Please upload all supporting documents, these documents will be automatically emailed with your request to Oasis once submitted.