Form Download

NCIP provides on-line access to fillable forms for your main insurance reporting and claims needs.

Complete the PDF documents on your computer

  • You must be sure to save the file to your computer

  • To use:

    • click on the link to open the file

    • complete the file

    • “Save As” onto your computer desktop

Submit the form

  • By E-mail
  • By fax 1-867-873-3042
  • By mail:

Northern Communities Insurance Program

200, 5105-50th Street

Yellowknife, NT X1A 1S1

Auto Change Form

When you purchase a new vehicle for your community government, please fill out this form and send it to NCIP.

Auto Change Form

 

Equipment Change Form

When you purchase a new piece of equipment for your community government, please fill out this form and send it to NCIP.

Equipment Change Form

 

Property Change Form

This form is to report in changes to the buildings owned by your community government. Fill this out and send it in when you construct a new building or take ownership of a new building, whether it is newly constructed or transferred from another level of government.

Download Form

 

Property Inspection Form

Download Form

 

Notice of Loss – Auto

Download Form

 

Notice of Loss – Liability

Download Form

 

Notice of Loss – Property

Download Form

 

For more information about insurance, please email NCIP Manager Ron Dennill or call the NCIP office at 867 873 8359, Toll Free 1-866-973-8359