Ontario Claims Forms

We are including in our website, some claim forms which can be accessed directly by our policy holders. We are hopeful that by providing these, we can expedite the claims process.

1. Ontario Automobile Policy (OAP 1)                                        
2. Statutory Accident Benefits Schedule (SABS)
3. Accident Benefits
   • Application for Accident Benefits (OCF1)
   • Employer's Confirmation Form (OCF2)
   • Disability Certificate (OCF3)
   • Death and Funeral Benefits Application (OCF4)
   • Permission to Disclose Health Information (OCF5)
   • Application for Expenses (OCF6)
   • Election of Income Replacement, Non-Earner or Caregiver Benefit (OCF10)
   • Activities of Normal Life (OCF12)
   • Declaration of Post-Accident Income and Benefits (OCF13)
   • Permission to Disclose Health Information to the Designated Assessment Centre (OCF14)
   • Treatment Plan (OCF18)
   • Application for Determination of Catastrophic Impairment (OCF 19)
   • Catastrophic Impairment Determination and Request for Assessment (OCF20)
   • Auto Insurance Standard Invoice(OCF21)
   • Application for Approval of an Assessment or Examination (OCF22)
   • Pre-Approved Framework Treatment Confirmation Form (OCF23)
   • Pre-Approved Framework Discharge Status Report (OCF24)
   • Assessment of Attendant Care Needs (Form1)
   • Notice of Loss