Notice and Consent

 I am applying for automobile insurance based on the information I have provided. With respect to this application or any renewal or change in coverage, I authorize you to collect, use and disclose my driving record, automobile insurance policy history and automobile insurance claims history as permitted by law for the limited purposes necessary to assess the risk, to investigate and settle claims, and to prevent, detect and suppress fraud. If I am issued an automobile insurance policy or if I make a claim, this information may be pooled with information from other sources and may be subject to analysis for the limited purpose of preventing, detecting or suppressing fraud. For this purpose, the information also may be disclosed to i) fraud prevention organizations, other insurance companies and the police and ii) databases or registers used by the insurance industry to analyze and check information provided against existing information.

 I declare that I have obtained consent from the listed drivers to the collection, use and disclosure by you of their driving record, automobile insurance policy history and automobile insurance claims history also as described above.

 I understand that if I have any questions about this consent I am free to consult with my insurance company representative or legal advisor before agreeing to these terms.

 For more information on how your consent relates to pooling and data analytics to prevent fraud, please visit http://www.ibc.ca/en/privacy-terminology.asp.