Box 6300 Winnipeg, MB R3C 4A4 Phone: (204) 9857000 Tollfree: 1 8006652410 Hearing Impaired Line: (20-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the Applicant’s Information section. Enter your legal given name(s) and surname, ensuring accuracy.
  3. Provide your physical address without using a PO Box number. Include your apartment number if applicable, city, town or village, and postal code.
  4. Input your date of birth in the format mm/dd/yyyy. Ensure this information is correct as it will be verified.
  5. Sign the form to certify that all provided information is accurate. If you are under 18 years of age, ensure a legal guardian also signs.
  6. Select an eligible guarantor who meets the specified criteria and has known you for at least two years. They must complete their section on the reverse side.
  7. Review all entries for completeness and accuracy before submitting the form through our platform.

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Manitoba Public Insurance (MPI) is a non-profit, Crown corporation that has provided basic compulsory automobile coverage since 1971. MPI is accountable to the Minister of Crown Services through the Corporations Board of Directors.
Manitoba Public Insurance Corporation (MPI; French: Socit dassurance publique du Manitoba) is the non-profit Crown corporation which administers public auto insurance, motor vehicle registration, and driver licensing in Manitoba.
To prove your identity, you will need supporting documents that establish these key elements: Birth date. Full legal name* Photograph. Manitoba residence and permanent address** Entitlement to be in Canada.
If you want us to handle your claim in Winnipeg, call us at 204-985-7000. If you would like your claim handled at one of our offices outside of Winnipeg, call our toll-free number at 1-800-665-2410.
Quick insights. Purpose of MPI: Mortgage protection insurance (MPI) provides financial security by paying off your mortgage if you pass away, with some policies also covering critical illness or disability.

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You can pay: in person at an Autopac agent or MPI Service Centre by cash, cheque, money order, debit or credit card. online at mpi.mb.ca by credit. through your financial institution.