Auto Insurance Claims Forms (OCF Forms)

The OCF forms and Settlement Disclosure Notice form are available for printing or downloading in Adobe Acrobat (.pdf) format. The forms are originally provided by the Financial Services Commission of Ontario. * All forms are fillable and saveable.

• OCF-1: Application for Accident Benefits
• OCF-2: Employer's Confirmation Form
• OCF-3: Disability Certificate
• OCF-4: Death and Funeral Benefits Application
• OCF-5: Permission to Disclose Health Information
• OCF-6: Expenses Claim Form
• OCF-9: Explanation of Benefits Payable by Insurance Company
• OCF-10: Election of Income Replacement, Non-Earner or Caregiver Benefit
• OCF-12: Activities of Normal Life
• OCF-13: Declaration of Post-Accident Income and Benefits
• OCF-18: Treatment and Assessment Plan
• OCF-19: Application for Determination of Catastrophic Impairment
• OCF-21: Auto Insurance Standard Invoice
• OCF-23: Treatment Confirmation Form
• OCF-24: Minor Injury Treatment Discharge Report
• OCF-25: Notice of Examination
• OCF-26: Voluntary Consent for Pre-Claim Examination
• Settlement Disclosure Notice