Electronic Consent Form

Canadian laws regulate how we can communicate electronically with our customers. In order for us to comply with the legislation, we need to know if you would like to receive email communications from us. We ask that you confirm your electronic email preferences by completing the form along with your email address.

By consenting, you are granting us permission to email you with information on new products, educational material, Electronic Auto Insurance Certificates, and to allow you access to your policies digitally through our website.

You can revoke your permission any time simply by notifying your Agent or Broker, or us directly at napanee@l-amutual.com.

Thank you for your interest and your continued business. We value you as a member of L&A Mutual Insurance Company and the Community in which we serve.

I/We consent to receiving electronic communications from L&A Mutual Insurance Company: *
I/We wish to have all statements and policy reminders sent by email: *
I/We wish to have access to digital copies of my auto liability slips: *
I/We wish to stop receiving paper copies of my policies/documents from L&A Mutual Insurance Company and receive digital copies of your policies and wordings. *

How it Works

After the consent form is completed, we will update our system and send out a confirmation email to you shortly.

Note: Electronic Auto Liability certificates are currently unavailable. However, you may still sign up to access these services. Once available, we will email you instructions on how to access these services.

By clicking in the checkbox below, you are acknowledging that all information provided is correct and you are providing L&A Mutual Insurance Co. with electronic consent to communicate with you by email. *
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