Apply for Cyber Insurance Protection

Fill out the Cyber Insurance form or download the printable PDF below:

Cyber Insurance PDF

    CYBER APPLICATION (Please complete ALL questions)

    Technical Assessment:


    Aggregate Limit Required


    Cyber Bullying Expenses

    reasonable expenses that insured or family member incur the cost of up to 20 hours of psychiatric services, professional digital forensic analysis, professional cyber security consultant service, professional public relations consultant

    Cyber Bullying Events

    means a series of three or more similar or related acts by the same person or group of persons that are
    intended to intimidate, harass, humiliate or defame that are committed against insured or family member

    Please do not hesitate to reach out if you have any questions at all.

    The right products, great service, the best people

    Contact Us

    Cooper Location – Orchard Plaza

    Tel: 250-860-6064
    Fax: 250-860-6094

    Glen Park Location – Glen Park Village

    Tel: 250-862-9700
    Fax: 250-862-9742