Formulaire PDF

Enrolment

  • IMPORTANT NOTICE

    BEFORE RETURNING YOUR APPLICATION FORM, AND TO HELP EXPEDITE REVIEW OF YOUR REQUEST FOR INSURANCE, PLEASE MAKE SURE THAT YOU:

    • Included all documents relevant to your situation:
      • Employee: Pages 1, 2 and 3 of the last two years of your tax return (T1 General) and letter from your employer confirming your annual salary, if you are a new employee.
      • Self-employed-Unincorporated: Pages 1, 2 and 3 of the last two years of your tax return (T1 General) plus Statement of Professional or Business Activity.
      • Self-employed-Incorporated: Pages 1, 2 and 3 of the last two years of your tax return (T1 General) plus latest Corporate Financial Statement
      • Notice of assessment or Summary are not accepted by the Insurer
    • Given the necessary details for questions to which you have answered "Yes";
    • Signed the application form on pages 11, 12 and 13;
    • Included a cheque payable to Sogemec Assurances Inc., representing the equivalent of one month’s premium if eligible to term insurance (section 12);
    • Included a specimen check (marked VOID), if you have opted for the direct method.

     

    Do not hesitate to contact us by email at information@sogemec.qc.ca or by phone at 514 350‑5070 or 1 800 361‑5303.

  • Please return the form(s) to Sogemec Assurances C.P. 217, Succ. Desjardins, Montreal (Quebec) H5B 1G9

  • Please return the form(s) to Sogemec Assurances C.P. 217, Succ. Desjardins, Montreal (Quebec) H5B 1G9