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Program Forms

Forms for all SCIC programs are listed in alphabetical order by name of the form.

The small icons in the right corners also provide examples and instructions for completing the form.

For Crop Insurance: Access program forms, endorsements and the Contract of Insurance.

For AgriStability: Individual producers (sole proprietors) must submit their income and expense (tax) information on the T1163 form to the Canada Revenue Agency, who shares this information with SCIC. Corporations and Co-operatives must submit all AgriStability forms to SCIC. An individual’s supplemental information (inventories, receivables, payables, deferrals and purchased inputs) must be submitted directly to SCIC.

For Livestock Price Insurance: Use the links below for quick access to LPI.ca for all program forms.

PLEASE NOTE: Data typed into fillable forms cannot be saved. Please print your completed form and submit to SCIC by fax, mail, e-mail, or visit your local office.

Click this icon to download example of forms and documents.
Click this icon to download form instructions.

Direct Deposit Request

Complete this form to set up direct deposit from SCIC.

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Direct Deposit Request

Complete this form to set up direct deposit from SCIC.

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Drybean Questionnaire

Complete this Crop Insurance Program form to capture Dryland Dry Bean Production Management Information.

Download Questionnaire

Fall Seeded Acreage Report

This Crop Insurance Program form is completed to report all acres of fall-seeded crops.

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Forage Endorsement

Complete this Crop Insurance Program form to activate or change coverage for the Forage Program.

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Forage Production Declaration

Complete this Crop Insurance Program form to report forage production to SCIC.

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Forage Rainfall Insurance Program Endorsement

Complete this Crop Insurance Program form to activate or change coverage for the Forage Rainfall Insurance Program.

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Fruit Tree Endorsement

Complete this Crop Insurance Program form to activate or change coverage for the Fruit Tree Insurance Program.

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Grains Endorsement

Complete this Crop Insurance Program form to activate or change coverage on grains.

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Greenhouse and Nurseries Productive Capacity

This form will compile the supplementary information needed to process your AgriStability application and will accompany the income and expense information you provide for your operation. SCIC will use the information from these forms to identify the productive capacity of your operation.

2023 2022 2021

Guardian Dog Rebate Application

Under the Wildlife Damage Compensation and Prevention Program, SCIC can provide $100 to help producers offset the cost of purchasing a livestock guardian dog. Producers requesting this funding should contact a customer service office to complete this form. Receipt of purchase for the dog and breeder information is required to be eligible for compensation. There is no limit on the number of livestock guardian dogs that may be compensated.

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Guarantee (Company)

When a corporation/limited company applies for a contract, SCIC requires a personal guarantee from said individual(s) that the premium, interest and penalties will be paid.

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