Skip to content
Facebook-f
Instagram
X-twitter
Link
Youtube
Github
Home
Previous Posts
Account
Login
RAC Maple Leaf Operators and New Members
Join RAC | Renew Membership
Membership Information
RAC Membership Certificate
RAC Membership Q&As
Quick Links
RAC Annual General Meeting 2026
Quick Links and Previous Posts
Silent Key Submission Guidelines
Carl Everson Memorial Silent Keys List
Manufacturers
Dealers
Used and Swap
Getting Started
What is Amateur Radio?
Amateur Radio Requirements in Canada
Amateur Radio Courses
Amateur Radio Course Study Guides
RAC Affiliated Club Program
About RAC
Get Involved
Amateur Radio Nets
Canadian Amateur Radio Clubs
Donations in Support of Amateur Radio
Defence of Amateur Radio Fund
Regulatory/Advocacy
The RAC Regulatory Team
RAC Regulatory/Advocacy Intiatives
World Radiocommunication Conferences
Canadian Amateur Radio Advisory Board (CARAB)
CARAB Minutes
Our Services
RAC Board of Directors
RAC National Executive
Minutes of RAC Board and Annual General Meetings
RAC Privacy Policy and Terms of Use
Cybersecurity
Programs
Canadian Amateur Radio Hall of Fame
Canadian Amateur Radio Hall of Fame Appointments 2024
Board of Trustees
RAC Amateur of the Year Award
RAC Insurance Program
RAC Affiliated Club Program
RAC Affiliated Clubs List
RAC QSL Bureau System
The RAC National Incoming QSL Bureau
RAC QSL Outgoing Bureau
ARISS: Amateur Radio on the International Space Station
ARISS Contacts: Upcoming and Past
Youth Programs and Activities
RAC Youth Education Program
Youth On The Air Camp 2024
RAC Scholarship and Grant Program
High Altitude Balloon Programs
Operating
World Amateur Radio Day 2026: Saturday, April 18
Encryption
Canadian Amateur Radio Clubs
Clubs and Repeaters
Amateur Radio Nets
Band Plans
Operating Guidelines
Operating Amateur Radio in Foreign Countries
Operating Internationally – FAQs
RAC Contests
RAC Winter Contest
RAC Canada Day Contest
Commonwealth Contest / Concours du Commonwealth
RAC Operating Awards
Canadaward
Worked All RAC
Canadian Century Club
Worked All North America
Worked All Continents
Other Awards
RAC Portable Operations Challenge
RAC POC Submission Form
RAC Challenge FAQ
RAC Challenge Leaderboard
Coureur des Bois Award
Public Service
Media Release | July 23, 2025 | Ontario ACS Recruitment
Community Services Officer (CSO)
Restructuring of the Field Organization
Overview of the Auxiliary Communications Service
Downloads/TCA
Brochures/Handouts
Downloads
The TCA Live Podcast
The Canadian Amateur Magazine (TCA)
Advertising in The Canadian Amateur
TCA Author’s Guide
RAC Author’s Agreement
ExHAMiner
Home
Previous Posts
Account
Login
RAC Maple Leaf Operators and New Members
Join RAC | Renew Membership
Membership Information
RAC Membership Certificate
RAC Membership Q&As
Quick Links
RAC Annual General Meeting 2026
Quick Links and Previous Posts
Silent Key Submission Guidelines
Carl Everson Memorial Silent Keys List
Manufacturers
Dealers
Used and Swap
Getting Started
What is Amateur Radio?
Amateur Radio Requirements in Canada
Amateur Radio Courses
Amateur Radio Course Study Guides
RAC Affiliated Club Program
About RAC
Get Involved
Amateur Radio Nets
Canadian Amateur Radio Clubs
Donations in Support of Amateur Radio
Defence of Amateur Radio Fund
Regulatory/Advocacy
The RAC Regulatory Team
RAC Regulatory/Advocacy Intiatives
World Radiocommunication Conferences
Canadian Amateur Radio Advisory Board (CARAB)
CARAB Minutes
Our Services
RAC Board of Directors
RAC National Executive
Minutes of RAC Board and Annual General Meetings
RAC Privacy Policy and Terms of Use
Cybersecurity
Programs
Canadian Amateur Radio Hall of Fame
Canadian Amateur Radio Hall of Fame Appointments 2024
Board of Trustees
RAC Amateur of the Year Award
RAC Insurance Program
RAC Affiliated Club Program
RAC Affiliated Clubs List
RAC QSL Bureau System
The RAC National Incoming QSL Bureau
RAC QSL Outgoing Bureau
ARISS: Amateur Radio on the International Space Station
ARISS Contacts: Upcoming and Past
Youth Programs and Activities
RAC Youth Education Program
Youth On The Air Camp 2024
RAC Scholarship and Grant Program
High Altitude Balloon Programs
Operating
World Amateur Radio Day 2026: Saturday, April 18
Encryption
Canadian Amateur Radio Clubs
Clubs and Repeaters
Amateur Radio Nets
Band Plans
Operating Guidelines
Operating Amateur Radio in Foreign Countries
Operating Internationally – FAQs
RAC Contests
RAC Winter Contest
RAC Canada Day Contest
Commonwealth Contest / Concours du Commonwealth
RAC Operating Awards
Canadaward
Worked All RAC
Canadian Century Club
Worked All North America
Worked All Continents
Other Awards
RAC Portable Operations Challenge
RAC POC Submission Form
RAC Challenge FAQ
RAC Challenge Leaderboard
Coureur des Bois Award
Public Service
Media Release | July 23, 2025 | Ontario ACS Recruitment
Community Services Officer (CSO)
Restructuring of the Field Organization
Overview of the Auxiliary Communications Service
Downloads/TCA
Brochures/Handouts
Downloads
The TCA Live Podcast
The Canadian Amateur Magazine (TCA)
Advertising in The Canadian Amateur
TCA Author’s Guide
RAC Author’s Agreement
ExHAMiner
Search
FORMTESTINGPAGE
THIS PAGE IS FOR TESTING ONLY
Online Insurance Form
Click to Open
Online Application Form
Step
1
of
4
25%
Company
This field is for validation purposes and should be left unchanged.
Club Information
Call Sign
Club Name
Address
Street Address
Address Line 2
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Contact Information
Call Sign
Your Name
Email
(Required)
Your Position in Club
Phone
Country
Phone Number
Membership and Insurance Information
Total Number of Club Members (include all)
Total Number of Non-RAC Members
Dues-Exempt Non-RAC Members
Is Loss & Damage Insurance on Equipment Required?
Yes
No
If yes, Total Actual Cash Value to be Insured:
Are additional insured certificates required?
Yes
No
Additional Certificates
Certificate Holder Name
Certificate Holder Address
Has a certificate been requested before and is on file? indicate "Yes" or "No"
Add
Remove
Please click the "plus +" icon for additional rows.
Insurance Information
Does the club have full-time or part-time employees?
Yes
No
How many Employees?
Annual Revenue from all sources:
Club Meetings
Number of Meetings per Year
Confirmed or Estimated
Type of Facility
Rented
Owned
Location of Meetings
Add
Remove
Please click the "plus" icon for additional rows.
List all other annual events and activities
Activity name
Description
Is Alcohol involved? Indicate “Yes” or “No”
Add
Remove
Please click the "plus +" icon for additional rows.
Any occurrences that may lead to a claim?
Yes
No
Any claims during the last five years?
Yes
No
Has any insurer cancelled, declined or refused any commercial insurance to the applicant in the last five years:
Yes
No
Submitted by:
Name
(Required)
First
Last
Date
(Required)
Submission Date
Signature
Your Name
Your Name
Your Name
Your Name
Submit additional files here to complete the application process.
All applications must submit a membership list with the RAC membership status of all members.
If applying for optional equipment coverage, submit an itemized list of all equipment with its actual cash value and the equipment total.
Any additional information can be uploaded as separate text files as necessary.
Applicants may use the provided membership and equipment lists from the RAC insurance page or submit their own.
File upload
Membership List is Required | Equipment List | Additional Certificate Requests
Drop files here or
Select files
Max. file size: 10 MB, Max. files: 5.
Finalize Submission
(Required)
I agree that all the information on behalf of my club is correct and any incorrect information may create delays in processing my application. By clicking submit this will act as a secondary digital signature.
Data consent and digital signature.
Δ