Let’s get started on your Auto insuranceComplete the request form below, and we’ll get started on your auto insurance transaction."*" indicates required fields Δ Legal Name* First Last Phone*Email* Date of Birth: MM slash DD slash YYYY CityDriver's License number:Existing Policy Expiry Date: MM slash DD slash YYYY Are there other people who live with you or who are employees of yours that will be driving this vehicle? Yes NoName 1 First Last Date of Birth 1 MM slash DD slash YYYY Name 2 First Last Date of Birth 2 MM slash DD slash YYYY Name 3 First Last Date of Birth 3 MM slash DD slash YYYY I need to: Renew my auto insurance Buy new insurance Purchase storage insurance Make a change to my current policy General inquiryAttach a picture of your odometer (You could be eligible for the low kilometer or distanced-based discount).Accepted file types: jpg, jpeg, png, tiff, heic, pdf, Max. file size: 8 MB.Attach void cheque (only if banking information has changed).Accepted file types: jpg, jpeg, png, tiff, heic, pdf, pages, doc, docx, txt, rtf, Max. file size: 8 MB.What is your vehicle’s year, make and model?Preferred language of contact:Select your most convenient Murrick Group location:(please select)Downtown (Vancouver) #100 – 1045 Howe Street, Vancouver, BCWest End (Vancouver) 109 – 1030 Denman Street, Vancouver, BCOakridge (Vancouver) 5645 Cambie Street, Vancouver, BCKillarney (Vancouver) 7523 Victoria Drive, Vancouver, BCWilfred Leong (Vancouver) 1812 Renfrew St, Vancouver, BCRichmond – 3800 Chatham St 120 &125, Richmond, BCNew Westminster – 206 E Columbia St., New Westminster, BCSurrey – #108-15428 Fraser Hwy, Surrey, BCLangley – A150-20018 83A Avenue, Langley, BCVictoria – 106-1016 McCallum Road, Victoria, BCIs your vehicle currently in BC?* Yes NoAdditional comments:Would you like a quote on private auto insurance options? Yes NoBy ticking this box, I consent Murrick Group to access my ICBC account for policy details and the sending of personal information, insurance forms and, if applicable, banking information by email. My email will be used for communications with Murrick Group and with areas across ICBC such as Insurance, Driver Licensing and Claims.* Yes, I acceptName of Person Giving Consent* First Last Your privacy is very important to us. Murrick Group wants to make sure your personal information remains safe and protected. This is a consent for communicating by email and sending/receiving your personal information, insurance forms, and if applicable banking information by email. It is important that you understand the following conditions:Getting your information by email message may not always be secure. Your email could be broken into and your information could be seen, shared with others, or changed without your permission. We recommend deleting information from your email to reduce the risk to you.Depending on your email provider, information we send to you may be stored outside of Canada.If you delete email messages from Murrick Group, backup copies could still be on your computer or in cyberspace.After your transaction is processed, you will be sent an email with your policy documents. By initialing and signing your policy documents, you are accepting ICBC’s terms and conditions.I agree and understand that my insurance is NOT renewed and my coverage will NOT take effect until a licensed insurance representative has contacted me and has confirmed that coverage is bound.* Yes, I accept