Agent application

Every Lessurance agent is verified before they can see a customer file. Fill this in once, upload your licence and legal ID, and choose the password you'll use to sign in after approval.

01 / Personal information

Full name

Work email addressInsurance company or brokerage email — personal mailboxes aren't accepted

Phone number

02 / Insurance & workplace

Insurance company / brokerage name

Workplace address

Workplace phone number

Company / brokerage websiteoptional

Insurance licence number

Licence type

Licence province

Language you serve customers in

03 / Documents

Insurance licence (required)PDF, JPG or PNG · max 8 MB

☐ Not uploaded yet

Legal identification (required)Passport, PR card, driver's licence or other government ID

☐ Not uploaded yet

04 / Create your password

Password8+ characters with an uppercase letter, a lowercase letter and a number. Avoid common passwords — they are rejected for security.

Confirm password

You'll use this password to sign in once an administrator approves your application.