Insurance Policy Address Change Request

Please complete the following form to request a change to your address on your AMA Insurance policy information. Once you submit this form, an AMA Insurance representative will contact you at the specified phone number within one business day (Monday to Friday, excluding statutory holidays) to complete your request.

We will also update your address with your AMA membership account.

About You

Membership Number

First Name

Last Name

Phone Number

Current Address

Address

City

Province

Postal Code

New Address

Address

City

Province

Postal Code

New Phone Number

Effective DateWhen would you like this new address to be effective?

An AMA Insurance representative will contact you at the specified phone number within one business day (Monday to Friday, excluding statutory holidays) to complete your request.

I acknowledge that this requested change of address will not go into effect until this change has been confirmed and processed by an AMA Insurance representative.

AMA Online Forms