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Accident insurance (Accirance) – Instructions

Note
As your application cannot be saved, please print a copy for your files before submitting it.

See the demonstration to find out more about how online forms and applications work.

Make applying online easy

Time required to fill out the application:
Between 10 and 15 minutes.
Application processing time:
A Desjardins advisor will follow up within one business day of receiving your form.
Information to provide:
  • First name, last name, gender and age of the person or persons to be covered.
  • Financial institution contact information (institution and transit numbers).
  • The credit card number or account number you will use to make your payment.

Continue your accident insurance application
Continue your accident insurance application
Guaranteed 100% Secure program

Please note that all our forms are secure and that the personal information you send is used only for the purpose of responding to your application. To find out more about privacy and security.

For assistance completing the application, please contact Desjardins Financial Security at 1-877-270-7721, Monday to Friday, 8 a.m. to 5 p.m. (EST).

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