JI Member Change Form

Membership Change Form

This RTO/ERO Membership Change form is for the exclusive use of the Johnson Insurance team to update basic address information. Please note that First Name and Last Name cannot be changed using this form; for these changes, please email [email protected].

The person who submits this form will receive an email with either a success or rejection message.

Note for entering Membership Number: Do not use dashes when entering the Membership Number.