Editable template for Canadian insurance brokers

Insurance invoice template for Canada

Download a reusable premium invoice or debit note format for broker-billed policies, renewals, endorsements, cancellations and instalments.

  • Includes policy number, carrier, coverage period, transaction type and provincial broker licence reference.
  • Separates premium, broker fees, administration fees, provincial premium tax, finance charges and return premiums.
  • Editable in Google Sheets, Google Docs, Excel and Word; GST/HST-exempt insurance notes are included.

Prefer to fill it online? Open the Canadian insurance invoice generator.

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Insurance template

Editable format for Canada

Template
Preview of a Canadian insurance invoice template

Built for policy premium collection where premium, fees and premium tax need to stay separate.

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Insurance invoice template for Canada

A Canadian insurance invoice should connect the payment request to a policy, insurer, coverage period and transaction type. The template keeps premiums, broker fees, policy fees and return premiums separate.

CRA lists the issuance or arranging of insurance policies by insurers, agents and brokers as exempt financial services, so the template uses GST/HST-exempt wording rather than a regular GST/HST line.

Fields to keep in the insurance template

  • Broker, agency or intermediary name, address and provincial broker licence reference.
  • Insured or policyholder, billing address and client account reference.
  • Carrier, policy number, class of coverage, coverage period and effective date.
  • Transaction type such as new policy, renewal, endorsement, cancellation, instalment or return premium.
  • Premium, broker fee, administration fee, provincial premium tax, finance charge and return premium separately.

GST/HST exemption and premium tax

Do not treat an insurance premium invoice like a normal taxable service invoice. CRA guidance lists arranging or issuing insurance policies as exempt, while provincial premium tax is separate and should match the insurer or broker closing when shown.

Broker fees and non-insurance services can need separate review, so keep them visible instead of hiding them inside the premium.

Common insurance template mistakes

  • Omitting policy number, carrier or coverage period.
  • Combining premium, fees and taxes into one unexplained total.
  • Showing GST/HST as if the insurance policy arrangement were a regular taxable supply.
  • Using the premium invoice for claim repairs or vendor services.

FAQs about Canadian insurance invoice templates

Do insurance invoices charge GST/HST?

Insurance policy issuance and arranging services are generally exempt financial services under CRA guidance, so GST/HST is not collected on the exempt supply.

Should premium tax be included?

Include provincial premium tax when it appears on the carrier or broker closing, and show it separately from GST/HST.

Can I use this for claims billing?

No. Use it for policy premium or broker-billed collection, not repair or provider invoices tied to claims.

Official sources