{"id":153,"date":"2025-09-17T16:02:37","date_gmt":"2025-09-17T16:02:37","guid":{"rendered":"https:\/\/conseiller.rbcinsurance.com\/fr\/?page_id=153"},"modified":"2026-07-29T00:16:24","modified_gmt":"2026-07-29T00:16:24","slug":"inscription","status":"publish","type":"page","link":"https:\/\/conseiller.rbcinsurance.com\/fr\/inscription\/","title":{"rendered":"Centre s\u00e9curis\u00e9 formulaire d\u2019inscription"},"content":{"rendered":"\n<div class=\"wp-block-columns srcRegistrationFormColumns mar-t-64 mob-mar-t-dbl mar-b-64 mob-mar-b-dbl is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column mar-r-dbl mob-mar-b-dbl is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:43%\">\n<h1 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-c4400228608e94c7a17944fa1b28f354\" id=\"h-centre-securise-formulaire-d-inscription\">Centre s\u00e9curis\u00e9 formulaire d\u2019inscription<\/h1>\n\n\n\n<p class=\"has-h-5-font-size\"><span class=\"partial__border-bottom\">Pour obtenir de l\u2019aide, veuillez \u00e9crire \u00e0 <a href=\"mailto:inslccs@rbc.com\" data-dig-id=\"LP-124-e497ef5a\" data-dig-label=\"inslccs@rbc.com.\" data-dig-action=\"link click\" data-dig-category=\"LP\" class=\"rbc-link-format\">inslccs<\/a><a href=\"For support, email us at inslccs@rbc.com.\" data-dig-id=\"LP-124-e497ef5a\" data-dig-label=\"inslccs@rbc.com.\" data-dig-action=\"link click\" data-dig-category=\"LP\" class=\"rbc-link-format\">@rbc.com.<\/a><\/span><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column srcRegistrationForm is-layout-flow wp-block-column-is-layout-flow\" style=\"border-radius:8px;flex-basis:53.67%\">\t\t<div class=\"wp-block-rbc-registration-forms-block registrationForm\">\n\t\t\t\n<form class=\"srcRegistrationForm rbci-registration-form\"\n\tlang=\"fr\"\n\tdata-ajaxurl=\"https:\/\/conseiller.rbcinsurance.com\/fr\/wp-admin\/admin-ajax.php\"\n\tdata-nonce=\"49ab23b27e\"\n\tdata-advisor-value=\"Conseiller en assurance\"\n\tdata-support-value=\"personnel-de-soutien\"\n\tdata-head-office-value=\"personnel-du-siege-social-agd-et-comptes-nationaux\"\n\tdata-success-msg=\"Nous vous remercions de votre demande. Nous t\u00e2cherons d&#039;y donner suite dans les meilleurs d\u00e9lais. Un(e) administrateur(trice) communiquera avec vous si votre demande soul\u00e8ve des questions.\"\n\tdata-error-msg=\"Une erreur s&#039;est produite. Veuillez r\u00e9essayer plus tard.\"\n\tdata-required-msg=\"Ce champ est obligatoire.\"\n\tnovalidate\n>\n\t<p class=\"src-form-form-fields-required\">* Champ obligatoire<\/p>\n\n\t\n\t<div class=\"src-form-row\">\n\t\t<div class=\"src-form-cell\">\t\t<div class=\"src-form-field-container listselect-wrap label-above role-dropdown\">\n\t\t\t<div class=\"src-form-field-label\">\n\t\t\t\t<label for=\"rbci-role\">R\u00f4le <span class=\"src-form-req-symbol\">*<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"src-form-field-element\">\n\t\t\t\t<select\n\t\t\t\t\tid=\"rbci-role\"\n\t\t\t\t\tname=\"role\"\n\t\t\t\t\tdata-role-select\t\t\t\t\trequired\t\t\t\t\taria-label=\"S\u00e9lectionnez un r\u00f4le\"\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Conseiller en assurance\" selected>Conseiller(\u00e8re) en assurance<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"personnel-de-soutien\">Personnel de soutien<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"personnel-du-siege-social-agd-et-comptes-nationaux\">Personnel du si\u00e8ge social (AGD et Comptes nationaux)<\/option>\n\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"src-form-cell\">\t\t<div class=\"src-form-field-container textbox-container label-above\" data-show-for=\"advisor\">\n\t\t\t<div class=\"src-form-field-label\">\n\t\t\t\t<label for=\"rbci-first_name\">Pr\u00e9nom <span class=\"src-form-req-symbol\">*<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"src-form-field-element\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"text\"\n\t\t\t\t\tid=\"rbci-first_name\"\n\t\t\t\t\tname=\"first_name\"\n\t\t\t\t\trequired\t\t\t\t\t\t\t\t\t\/>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"src-form-row\">\n\t\t<div class=\"src-form-cell\">\t\t<div class=\"src-form-field-container textbox-container label-above\" data-show-for=\"advisor\">\n\t\t\t<div class=\"src-form-field-label\">\n\t\t\t\t<label for=\"rbci-last_name\">Nom <span class=\"src-form-req-symbol\">*<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"src-form-field-element\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"text\"\n\t\t\t\t\tid=\"rbci-last_name\"\n\t\t\t\t\tname=\"last_name\"\n\t\t\t\t\trequired\t\t\t\t\t\t\t\t\t\/>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"src-form-cell\">\t\t<div class=\"src-form-field-container textbox-container label-above\" data-show-for=\"advisor\">\n\t\t\t<div class=\"src-form-field-label\">\n\t\t\t\t<label for=\"rbci-street_address\">Adresse municipale <span class=\"src-form-req-symbol\">*<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"src-form-field-element\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"text\"\n\t\t\t\t\tid=\"rbci-street_address\"\n\t\t\t\t\tname=\"street_address\"\n\t\t\t\t\trequired\t\t\t\t\t\t\t\t\t\/>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"src-form-row\">\n\t\t<div class=\"src-form-cell\">\t\t<div class=\"src-form-field-container listselect-wrap label-above province-dropdown\" data-show-for=\"advisor\">\n\t\t\t<div class=\"src-form-field-label\">\n\t\t\t\t<label for=\"rbci-province\">Province <span class=\"src-form-req-symbol\">*<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"src-form-field-element\">\n\t\t\t\t<select\n\t\t\t\t\tid=\"rbci-province\"\n\t\t\t\t\tname=\"province\"\n\t\t\t\t\t\t\t\t\t\trequired\t\t\t\t\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"\">S\u00e9lectionnez<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Ontario\">Ontario<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Qu\u00e9bec\">Qu\u00e9bec<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Nouvelle-\u00c9cosse\">Nouvelle-\u00c9cosse<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Nouveau-Brunswick\">Nouveau-Brunswick<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Manitoba\">Manitoba<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Colombie-Britannique\">Colombie-Britannique<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"\u00cele-du-Prince-\u00c9douard\">\u00cele-du-Prince-\u00c9douard<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Saskatchewan\">Saskatchewan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Alberta\">Alberta<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<option value=\"Terre-Neuve-et-Labrador\">Terre-Neuve-et-Labrador<\/option>\n\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"src-form-cell\">\t\t<div class=\"src-form-field-container textbox-container label-above\" data-show-for=\"advisor\">\n\t\t\t<div class=\"src-form-field-label\">\n\t\t\t\t<label for=\"rbci-postal_code\">Code postal <span class=\"src-form-req-symbol\">*<\/span><span class=\"fa-info-circle src-form-help\" data-text=\"Entrez l&#039;un des codes postaux que vous avez d\u00e9j\u00e0 fournis \u00e0 RBC Assurances lors de votre inscription.\" aria-label=\"Entrez l&#039;un des codes postaux que vous avez d\u00e9j\u00e0 fournis \u00e0 RBC Assurances lors de votre inscription.\" role=\"img\" tabindex=\"0\"><span class=\"fa-tooltip-content\">Entrez l&#039;un des codes postaux que vous avez d\u00e9j\u00e0 fournis \u00e0 RBC Assurances lors de votre inscription.<\/span><\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"src-form-field-element\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"text\"\n\t\t\t\t\tid=\"rbci-postal_code\"\n\t\t\t\t\tname=\"postal_code\"\n\t\t\t\t\trequired\t\t\t\t\t\t\t\t\t\/>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"src-form-row\">\n\t\t<div class=\"src-form-cell\">\t\t<div class=\"src-form-field-container email-container label-above\" data-show-for=\"advisor\">\n\t\t\t<div class=\"src-form-field-label\">\n\t\t\t\t<label for=\"rbci-email\">Adresse courriel <span class=\"src-form-req-symbol\">*<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"src-form-field-element\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"email\"\n\t\t\t\t\tid=\"rbci-email\"\n\t\t\t\t\tname=\"email\"\n\t\t\t\t\trequired\t\t\t\t\taria-label=\"Envoyer un courriel \u00e0 inslccs@rbc.com\"\t\t\t\t\/>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"src-form-cell\">\t\t<div class=\"src-form-field-container tel-container label-above\" data-show-for=\"advisor\">\n\t\t\t<div class=\"src-form-field-label\">\n\t\t\t\t<label for=\"rbci-phone\">N\u00ba de t\u00e9l\u00e9phone au bureau <span class=\"src-form-req-symbol\">*<\/span><span class=\"fa-info-circle src-form-help\" data-text=\"Le num\u00e9ro de t\u00e9l\u00e9phone que vous indiquez sera utilis\u00e9 \u00e0 des fins d&#039;authentification \u00e0 deux facteurs \u00e0 l&#039;ouverture de session.\" aria-label=\"Le num\u00e9ro de t\u00e9l\u00e9phone que vous indiquez sera utilis\u00e9 \u00e0 des fins d&#039;authentification \u00e0 deux facteurs \u00e0 l&#039;ouverture de session.\" role=\"img\" tabindex=\"0\"><span class=\"fa-tooltip-content\">Le num\u00e9ro de t\u00e9l\u00e9phone que vous indiquez sera utilis\u00e9 \u00e0 des fins d&#039;authentification \u00e0 deux facteurs \u00e0 l&#039;ouverture de session.<\/span><\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"src-form-field-element\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"tel\"\n\t\t\t\t\tid=\"rbci-phone\"\n\t\t\t\t\tname=\"phone\"\n\t\t\t\t\trequired\t\t\t\t\t\t\t\t\t\/>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"src-form-row\">\n\t\t<div class=\"src-form-cell\">\t\t<div class=\"src-form-field-container textbox-container label-above\" data-show-for=\"advisor\">\n\t\t\t<div class=\"src-form-field-label\">\n\t\t\t\t<label for=\"rbci-advisor_code\">Code de conseiller<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"src-form-field-element\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"text\"\n\t\t\t\t\tid=\"rbci-advisor_code\"\n\t\t\t\t\tname=\"advisor_code\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"src-form-cell\">\t\t<div class=\"src-form-field-container textbox-container label-above\" data-show-for=\"advisor\">\n\t\t\t<div class=\"src-form-field-label\">\n\t\t\t\t<label for=\"rbci-mga_manager\">AGD\/directeur d&#039;agence<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"src-form-field-element\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"text\"\n\t\t\t\t\tid=\"rbci-mga_manager\"\n\t\t\t\t\tname=\"mga_manager\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t\t<div class=\"src-form-row src-form-row--full\">\n\t\t<div class=\"src-form-cell src-form-cell--full\">\n\t\t\t<div class=\"srcRegistration-html-office-stuff html-container\" data-show-for=\"head_office\" hidden>\n\t\t\t\t<p class=\"has-text-large-font-size\">Pour une demande d&#039;acc\u00e8s, veuillez t\u00e9l\u00e9charger et remplir le formulaire PDF ci joint et le faire parvenir par courriel \u00e0 <a href=\"mailto:inslccs@rbc.com\">inslccs@rbc.com<\/a>.<\/p><p class=\"has-text-large-font-size\"><a class=\"rbc-link-format pdf-link\" href=\"https:\/\/assets.rbcinsurance.com\/m\/be5314314fa086d\/original\/BIC-online-authorization-fr.pdf\">Centre s\u00e9curis\u00e9 autorisation formulaire<\/a><\/p>\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"src-form-row src-form-row--full\">\n\t\t<div class=\"src-form-cell src-form-cell--full\">\n\t\t\t<div class=\"srcRegistration-html-support-stuff html-container\" data-show-for=\"support\" hidden>\n\t\t\t\t<p class=\"has-text-large-font-size\">Pour une demande d&#039;acc\u00e8s, veuillez t\u00e9l\u00e9charger et remplir le formulaire PDF ci joint et le faire parvenir par courriel \u00e0 <a href=\"mailto:inslccs@rbc.com\">inslccs@rbc.com<\/a>.<\/p><p class=\"has-text-large-font-size\"><a class=\"rbc-link-format pdf-link\" href=\"https:\/\/assets.rbcinsurance.com\/m\/be5314314fa086d\/original\/BIC-online-authorization-fr.pdf\">Centre s\u00e9curis\u00e9 autorisation formulaire<\/a><\/p>\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t\t<div class=\"rbci-hp\" aria-hidden=\"true\">\n\t\t<label>Leave this field empty\n\t\t\t<input type=\"text\" name=\"rbci_hp\" tabindex=\"-1\" autocomplete=\"off\" \/>\n\t\t<\/label>\n\t<\/div>\n\n\t<div class=\"src-form-row src-form-row--full\">\n\t\t<div class=\"src-form-cell src-form-cell--full\">\n\t\t\t<div class=\"submit-container wp-block-button\" data-show-for=\"advisor\">\n\t\t\t\t<button type=\"submit\" class=\"wp-block-button__link wp-element-button\"\n\t\t\t\t\tdata-label=\"Envoyer\"\n\t\t\t\t\tdata-processing=\"En cours de traitement\">\n\t\t\t\t\t<span class=\"rbci-btn-label\">Envoyer<\/span>\n\t\t\t\t<\/button>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"registrationSuccessMessage\" data-message hidden><span><\/span><\/div>\n<\/form>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Centre s\u00e9curis\u00e9 formulaire d\u2019inscription Pour obtenir de l\u2019aide, veuillez \u00e9crire \u00e0 inslccs@rbc.com.<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/new-rbci-design.php","meta":{"_acf_changed":false,"editor_notices":[],"footnotes":""},"class_list":["post-153","page","type-page","status-publish","hentry"],"acf":{"rbci_landing_page_use_simple_navigation":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Centre s\u00e9curis\u00e9 formulaire d\u2019inscription | RBC Assurances centre des ressources<\/title>\n<meta name=\"robots\" content=\"noindex, nofollow\" \/>\n<meta property=\"og:locale\" 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