Manitoba Forms

Below are the forms to participate in WLPIP. To enroll in WLPIP click on the MB Application for Identification & Subscription numbers. If you require assistance click here for instruction on forms. Additional help is available at MASC offices or the WLPIP Contact Centre at 1 844-782-5747. When completed return to any MASC office, fax to 204-239-3241 or email scanned forms to WLPIP@masc.mb.ca

Need help with your forms? Visit the Forms Instructions Area.

 MB Application for Identification & Subscription Numbers

MB Authority Form - WLPIP

MB Assignment of Indemnity - WLPIP

MB Request to Purchase - Hog

 MB Request to Purchase - Cattle

MB Request to Claim - Cattle

 MB Early Cancellation of Policy

 


Contract of Insurance

 WLPIP Contract of Insurance