Phone:	905.287.1000 or 1.800.307.0370
Fax:	905.287.1006 or 1.877.466.3196
URL:	www.firstcanadiantitle.com
Click here for pdf form

Required fields are marked with an asterisk *

Property Information
Name of Policy Holder(s)*:
Policy Number*:
Date of Policy:
Property Details
Municipal Address of Property*:
Name of Solicitor on Insured Transaction*:
Insured's Contact Information:
Name*:
Address 1*:
Address 2:
City*:
Province*:	Select... AB - Alberta BC - British Columbia MB - Manitoba NB - New Brunswick NL - Newfoundland & Labrador NS - Nova Scotia NT - Northwest Territories NU - Nunavut ON - Ontario PE - Prince Edward Island QC - Québec SK - Saskatchewan YT - Yukon
Postal Code*:
Home Phone #*:	-  -
Work Phone #:	-  -
Modile Phone #:	-  -
Fax #:	-  -
Email*:
Nature of Claim*:
Please provide us with any information and supporting documentation which would assist us in our claims review process. For tax arrears claims, please submit the following documents: Deed, Statement of Adjustments, Undertaking to Readjust and tax bill.
Attach Document 1:
Attach Document 2:
Attach Document 3:
Attach Document 4:
Attach Document 5:

If you have any question, please contact our offices and a member of our Claims Department will be pleased to assist you. * Claims Fax - 905.287.1006 / 1.877.466.3196