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JDS Insurance Application Forms
Find the Insurance Application Form below that applies to your needs, and click on the link to download the document.  This can then be completed, printed, & scanned or faxed to J.D. Smith Insurance Brokers at 905-764-9618.
Contacts Phone Extension
Haig Papazian Ext 239
Rocco Scarano Ext 215
Tom Larha Ext 245
Mark Smith Ext 228
Kathy Turner Ext 207
Caroline Tang Ext 206
1-800-917-SAVE 905-764-7868

CYBER INSURANCE:  Today it is VERY important to have Cyber Coverage.

Many of our packages have new coverage added for a limited amount.

Complete the application and we will get you quotes on higher limits from a number of companies

If your are unable to view or download the above application – please download the following free “Adobe Reader”.

Special Event Liability Solutions

If you are planning a wedding, church group, a birthday party or any other Event, complete this application
We have special rates that apply on our package, if alcohol is not at the event.

  • Display Booths
  • Dinners, Seminars
  • Weddings, Recitals
We have a special rate for Universities, Camps and Mission Organizations. The cost is based on the size of the event, activity and venue.
  • $1 Million coverage, excluding alcohol is approximately $375 to $475
  • MissionFest Exhibitors basic coverage $250
Please complete the application and email or fax to our office for a quick quote.

Welders and Metal Workers Applications: Property, Products and Liability Applications

We insure hundreds of Welders and Metal Workers across Canada. We have a special program and very good rates. CWB members get a further 10% to 16% discount depending on the number of employees.

Please download the following 3 applications that are needed in order to provide you with an Insurance Review.
Complete in Full and fax to 905-764-9618 – Attn: Mark Smith - Commercial Department – or mail to 105 West Beaver Creek Rd., Richmond Hill, Ontario, L4B 1C6.
Call Mark @ 905-764-7868 EXT228 If you have any questions.

If available, please include any photographs, catalogues outlining your product, or a brochure showing your business operations. We will then review the information provided with our top carriers and provide you with a full Insurance Review.

If your are unable to view or download the above applications – please download the following free “Adobe Reader”.

Non Destructive Testing Coverage
Insurance, Products and Liability Applications

Accident Insurance Camp Insurancce Program Solutions

Church and Non-Profit Applications
For New Church Submissions, or Church Insurance Renewals:
Please complete these Adobe applications online, print them or 'Save' and email to us for an insurance review.

Errors and Omissions Applications

Contractors Applications

Miscellaneous Applications

Fleet and Cargo Applications

Computer Technology Applications
RIBO JD Smith & Associates Insurance Brokers Inc.
105 West Beaver Creek Rd.
Richmond Hill, ON, L4B 1C6
Tel: 905-764-7868
Fax: 905-764-9618
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