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FORMS Accident Benefits


Access Auto Insurance Claims Forms Here


Effective November 1 2014, Accident Benefits Application OCF-1

Employer's Confirmation Form OCF-2

Disability Certificate OCF-3

Permission to Disclose Health Information OCF-5

Expenses Claim Form OCF-6

Election of Income Replacement/Non-Earner/Caregiver Benefit OCF-10

Effective November 1, 2014, Treatment and Assessment Plan OCF-18

Application for Determination of Catastrophic Impairment OCF-19

Treatment Confirmation Form OCF-23

Notice of Examination OCF-25

Insurance Act

Superintendent’s Report on the Definition of Catastrophic Impairment

Assessment of Attendant Care Needs Form-1


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  Criminal & Personal Injury Lawyers

Our Personal Injury Lawyers service Brampton , Mississauga , Milton , Toronto, Etobicoke , Markham, Richmond Hill, Thornhill, Vaughan , Caledon, Oakville , Burlington , Orangeville Newmarket , Woodbridge , Caledon, Peel, Hamilton, Ancaster, Stoney Creek, Binbrook, St. Catherines, Caledonia, Niagara Falls , Scarborough, North York , Barrie, Collingwood, Wasaga Beach.

Our Criminal Lawyers service Brampton , Mississauga , Oakville , Milton , Toronto , Burlington , Orangeville, Guelph, Caledon , Newmarket , Barrie, Collingwood, Vaughan, Woodbridge, North York, Maple, York Region, Georgetown, Halton Hills, Bradford, Hamilton. Need a Criminal Lawyer? Call us today. Free telephone consultations.

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  Contact Us
  Mississauga Law Chambers

151 City Centre Drive, Suite 201,
Mississauga, ON L5B 1M7

Direct Line: (647) 607-7529

  Brampton Law Office

2 County Court Blvd., 4th Floor,
Brampton, ON L6W 3W8

Local : (289) 814-4800

  Vaughan Law Office

400 Applewood Crescent, Suite 100,
Vaughan, ON L4K 0C3

Local : (905) 493-4011

  Oakville Law Office

2275 Upper Middle Road E., #101,
Oakville, ON L6H 0C3

Local : (905) 593-0499

Business Hours : 8:00 - 6:30
Evening Appointments Available
BY APPOINTMENT ONLY

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