Adjusters use this form to record details of a hit and run accident from the last known driver.

This brochure is provided to customers to describe our Lay Up coverage, including any requirements an individual must satisfy in order to comply with or purchase this coverage.

This brochure is provided to customers to describe our Leased Vehicle Protection coverage, including any requirements an individual must satisfy in order to comply with or purchase this coverage.

This decision letter is issued to the claimant to explain their entitlement to costs related to leisure and recreational activities, including how to request a review of the decision. Last updated Jan 27, 2022.

This letter provides an individual customer's claims experience (at-fault claims) and policy history information (vehicle registration and insurance) in Manitoba.

This form is used by customers to indicate the vehicle they are registering was received as a gift.

This letter is sent to the claimant with an attached scarring diagram, requesting that they complete the diagram, provide photographs of the areas of scarring and return the information to MPI.

This letter is issued to a customer to request further information related to reporting a claim.

This letter is issued to the customer to explain their liability in the collision.

This letter is issued to the customer to advise them of MPI's decision and available options regarding the customer's liability.

This brochure is provided to customers to describe our Loss of Use coverage, including any requirements an individual must satisfy in order to comply with or purchase this coverage.

This formed is used by claimants, who are Manitoba Civil Service Commission employees, to elect to receive sick benefits from the Province of Manitoba sick leave benefit plan and assign their Income Replacement Indemnity (IRI) payments to the Province of Manitoba, or to receive sick benefits during the seven-day waiting period only and then collect IRI. 

This form is used by dentists to provide oral health information for a claimant who may require complete or partial dentures.  

This fact sheet provides information to the claimant's dentist about MPI's dental protocols and reporting guidelines.

This form is used by organizations to apply for a specialty licence plate series.

This form provides information for the customer regarding the  mediation process for their injury claim.   

This information is used in letters sent to customers related to filing medical reports. 

This  letter is issued to the claimant's doctor requesting that they complete the attached Medical Certificate of Disability.

This form is completed by a claimant's physician to disclose information about their pre-existing medical condition and disability. 

This letter is sent to customers provide information regarding their filed medical information.

This brochure describes medical standards for driving.

This form is used by customers to provide required medical information to obtain and maintain a driver's licence. 

This letter is sent to the claimant to request their authorization for the release of their health care information. Last updated Jan 26, 2022.

This letter is sent to the claimant when there is no response to the first request to complete and return a Medical Information Authorization form.

This form is sent to a medical professional when medical information was sent back to MPI that was not pertinent to the injury claim. 

This form is used by seasonal employees to order promotional merchandise.

A guide to using Mitchell's eGlass product.

This form is used by customers to apply for a change such as insurance use or a change of address that involves a territory change, during the policy term.

This form is used by driving school owners to affirm agreement with vehicle use terms and conditions.

This form is used by instructors to record travel details.

This form is used by rural service centres to request mobile testing facilities' contact information. 

This policy defines the insurance coverage provided by Manitoba Public Insurance for motor vehicle adaptations under its rehabilitation program.

This form must be completed by an inspection station who is planning on renewing their inspection status.

This form is used by inspectors to indicate if the tint on a vehicle complies with Manitoba regulations.

This handbook is provided to customers who own or ride a motocycle, to explain licencing and motocycle handling.

This form is used by claimants, who are MPI employees, to authorize the sharing of information related to the claim within MPI for the purpose of administering the claim.

This form is used by dentists to provide additional information about a dental implant.

This form is used by adjusters to obtain details from a claimant to confirm if the claimant is a Manitoba resident who is eligible to receive insurance coverage from MPI, including benefits provided by the Personal Injury Protection Plan (PIPP).

Interprovincial reciprocal agreement between Manitoba Public Insurance and the Province of Alberta.

Interprovincial reciprocal agreement between Manitoba Public Insurance and Saskatchewan Government Insurance.

This letter is issued to the customer to explain the denial of their claim.

This letter is issued to the customer to explain the denial of their claim when involved in a collision outside of Manitoba and there was a coverage issue.

This letter is issued to the customer to explain the denial of their claim when the driver (vehicle owner) is involved in a collision outside of Manitoba and is liable.

This letter is sent to the customer by the adjuster explaining the reason why there claim is being denied coverage when involved in a multi vehicle collision outside of Manitoba when the driver is liable.

Letter for a customer who has applied for a Basic ID Card with a MB Divisional Birth Certificate, advising them to contact Manitoba Vital Statistics (MVSA) to make arrangements to obtain a new and acceptable MB Birth Certificate as MB Divisional Birth Certificates are not acceptable.

This form is used by customers to apply for a permit to use their vehicle for class 4 and 5 driver training purposes.

This form is used by customers to request a permit to open a driver training school.

This letter is issued to the claimant to advise them of the name and contact information of their assigned case manager.

Change Particulars Form for New [Basic] ID Card Application.

This form is used by customers to apply for a new policy.

This form is used by customers to set up the initial ownership/registration of any new vehicle registered in Canada.

This brochure is provided to customers to describe our New Vehicle Protection coverage, including any requirements an individual must satisfy in order to comply with or purchase this coverage.

This letter is issued to the customer to advise that they are not responsible for paying the deductible on their claim.

This policy is used for full-time  students who reside in Manitoba, but are not Manitoba residents, to allow them to operate their vehicle in Manitoba. 

This form is used by instructors to provide consent on terms and conditions to operate as a non-commercial driving school.

This form is used by third-party auditors to disclose oral knowledge test results.  

This agreement is issued to customers to provide them further information on their rights and obligations to preserve their insurance coverage benefits in the event of an Autopac claim.

This policy is used by Manitoba Public Insurance staff for customers with a suspensions, it provides steps on how add, change, and delete suspensions in DTE.

The Notice of Cancellation is a cancellation warning letter for a vehicle which has been deemed irreparable.

This letter is issued to mobile facilities to provide them cancellation notice in the use of their facilities.

This letter is issued to customers to provide them further information or steps they must take in relation to changes they have made to their pre-authorized payment agreement.

This letter is issued to customers by Manitoba Public Insurance to inform them of updates to their Driver Safety Rating and resulting changes to their Driver's Licence and/or policy premiums.

This letter is issued to customers to inform them of changes to their Driver Safety Rating, including any resultant amounts owing or credited to them.

This form is used by customers to request an appeal hearing to contest their Driver Safety Rating change following a claim.

This form is used following mediation issued by the mediator as a notice of the claimant's decision towards a partial withdrawal of issue(s) under appeal and as a notice of clarification of issue(s) remaining under appeal.

This letter is sent to customers to advise of suspension of driving and vehicle registration priviledges and how to reappy for their Manitoba driver's licence and/or vehicle registration.

This letter is sent to customers to inform them that because the vehicle was uninsured when the accident occurred, driver and vehicle registration privileges are being suspended.

This letter is issued to customers to inform them of a notice of suspension under Section 264 of The Highway Traffic Act.

This letter is sent to registered account holders to advise they must follow a set of instructions to update their labour rate profile in Mitchell.

This information sheet describes MPI's  opioid policy, related procedures, and guidelines/best practices.

This letter is issued to the claimant to provide them further information on how to request a review of the decision regarding their entitlement to reimbursement of opioid medication.

This policy provides guidelines within which case managers may consider payment of opioid medication. 

This letter and form are sent to a claimant to determine funding for opioid medication.

This letter is sent to the claimant's physician to determine funding for opioid medication.

This form is used by physicians to assess a claimant's risk of opioid medication addiction and/or abuse.

This form is used by claimants and their physicians to provide information about their opioid medication prescription.