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EAA C-PLAN Aircraft Insurance Application (Canada)

Please complete this online quote request for aircraft insurance. When you are finished, please click the “Continue” button. If you have an EAA.org account, logging in will auto-fill portions of this form.

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Personal Information

One phone number is required

Membership Numbers

Additional discounts or benefits may be available to members of the following organizations

Your list of Aircraft

Year Make Model
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Aircraft Information

Coverage Requested

Insurance Information Request

Airport Information

Lien Holder

Your list of Pilots

First Name Last Name
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Pilot Information

(RG=Retractable ME=Multi-Engine TW=Tailwheel RW=Rotorwing)

What communication prompted you to submit this application (check all that apply)

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Summary

Thank you for your request.

A copy of your quote request has been sent to you. If you need to discuss anything related to your request, please call 1-866-647-4EAA (4322).

A copy of your quote request has been sent to you. If you need to discuss anything related to your request, please call tool-free 855-736-3407 or en français 514-906-0005.

When you insure your aircraft in the EAA Insurance Plan, you are helping to support Young Eagles and EAA safety programs.

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