Have you been injured in an accident? Follow these simple guides on how to file your claim.

The OCF Package

This video provides an overview of the package of government forms that are used to apply for accident benefits. Talk to your claims advisor if you need help completing the forms or if you have questions about your claim.

Context: An animation gives an overview of how to complete the application forms for Accident Benefits. Each part of the application form is highlighted as the voice-over provides instruction.

[text on screen] Applying for Accident Benefits – An Overview

[voice over] Your Claims Advisor will be there every step of the way to help in your recovery from your accident. And this video will help you complete the government forms – Ontario Claim Forms – OCFs, for short. We know it’s quite a bit of paperwork, but if you follow along with the video we can help make the process go as smoothly as possible.

[text on screen and voice over] You can speak with your Claims Advisor for further help completing the forms and any details about your claim. They’re here for you.

[text on screen and voice over] The Accident Benefits Application Package

[voice-over] There are 5 forms in this package. We’ll tell you what each form is for, and what you may need to do with them.

[text on screen and voice over] Application for Accident Benefits (OCF-1)

[voice-over] This is the most important form because it gets things started.

[text on screen and voice over] By completing it and sending it to back to us as soon as possible, you’ll be applying for benefits to help you recover from the accident. You might have weekly benefits available if you were working before the accident, and can’t work now. Some other weekly benefits may be available even if you were unemployed or retired at the time of the accident. Your Claims Advisor will explain all of the benefits available.

[voice-over] You can send us the Application Form first, once you’ve completed it, to get things started as soon as possible.

[voice-over] There are four other forms in the package.

[text on screen and voice over] Employer’s Confirmation (OCF-2)

[voice-over] If you’ve continued to work after your accident, you don’t need to complete this form.

[voice-over] But, if you can’t do the same work as before because of the accident, you may be asked by your Claims Advisor to complete this form. It can provide them with information about your work history so they can see if benefits are available.

[voice-over] If you are asked to complete it, the first three Parts of this form are for you to fill-out. Then your employer fills-out the rest.

[voice-over] If you had more than one employer during the past year, you’ll be asked to have each employer complete one of these forms. Your Claims Advisor can provide more copies, if you need them.

[text on screen and voice over] You can speak with your Claims Advisor for further help or to answer your questions.

[text on screen and voice over] Disability Certificate (OCF-3)

[voice-over] Completing this form provides information about the extent of your injuries from the accident so that your Claims Advisor can see if benefits are available.

[voice-over] If you are asked to complete it by your Claims Advisor, the first four Parts of this form are for you to fill-out. Then the rest is filled-out by your health practitioner, like your family doctor, or any of the other people listed here.

[text on screen and voice over] Permission to Disclose Health Information (OCF-5)

[voice-over] You may be asked to complete this Form. It allows your Claims Advisor to get your medical records directly from your treatment providers.

[text on screen and voice over] Having your medical records gives your Claims Advisor a more complete picture of your injuries, and anything else that might affect your recovery.

[text on screen and voice over] Treatment Confirmation Form (OCF-23)

[voice-over] We’ve sent you a copy of this Form for you to see what might be sent to us by your treatment provider or clinic if they think you need treatment. If that is the case, they will ask you to sign it. This is a good opportunity for you to understand the treatment being offered.

[text on screen and voice over] If you need a treatment provider, your Claims Advisor can work with you to find one to help in your recovery.

[text on screen and voice over] Completing and Submitting Your Forms

[voice-over] By completing the Application Form and sending it to back to us as soon as possible, you’ll be applying for benefits to help you recover from the accident.

[text on screen and voice over] When your Claims Advisor has reviewed your forms, they will contact you to talk about your benefits. But you can also speak with them before that, to answers any questions.

The Application for Accident Benefits (OCF-1)

This video will help you complete the Ontario government form that gets your claim started. It’s called the Application for Accident Benefits (OCF-1).

By completing it and sending it back to us as soon as possible, you’re starting the process of applying for benefits to help you recover from the accident.

Context: An animation shows how to complete the application form for Accident Benefits. Each part of the application form is highlighted as the voice-over provides instruction.

[text on screen] Completing the Application for Accident Benefits Form OCF-1

[voice over] Your Claims Advisor will be there every step of the way to help in your recovery from your accident. And this video will help you complete the government form that gets your claim started – it’s called the Application for Accident Benefits. We know it’s quite a bit of paperwork, but if you follow along with the video we can help make the process go as smoothly as possible. By completing it and sending it to back to us as soon as possible, you’ll be applying for benefits to help you recover from the accident.

[text on screen and voice over] You can speak with your Claims Advisor for further help completing the form and to discuss details about your claim. They’re here for you.

[voice over] At the start of the Application Package there are two pages. The first page explains all of the forms in the package that we’ve sent you.

The second page is for people who aren’t sure where to send this form – but, since you’re sending it to us, you don’t need to worry about this page.

Page three is where the Application Form starts. Let’s go through each section now so you can complete it accurately and smoothly.

[text on screen] Part 1 – Applicant Information

[voice over] Provide all of your information here. By giving us your current and complete contact information we can reach you the way you’d like. Be sure to fill-out the best time to reach you.

[text on screen] Part 2- Applicant’s Representative

[voice over] If someone is helping you with your claim, they need to complete this section.

Parents or guardians completing this form on behalf of a child or minor must fill-in this with their information.

[text on screen] Part 3- Accident Details and Health Information

[voice over] This section is where you provide details about the accident and the treatment you received afterward.

[text on screen and voice over] Your Claims Advisor can work with you to find a health care practitioner who can help in your recovery.

[voice over] You can add another page if you have several health care practitioners currently involved in your care.

[text on screen] Part 4 – Details of Automobile Insurance

[voice over] We need to know about all of the automobile insurance policies that you might be covered under. Please note that these are not group health care policies – we’ll cover that later in Part 9.

You’ll notice that there are two sections in this part that could apply: “Section A” relates to any automobile insurance that covers you or your spouse, is [text on screen and voice over] available through your work, or through someone you’re dependent on – like your parents or any other family members. You may be covered under another automobile insurance policy other than the one insuring the car involved in the accident.

If you do not have other automobile insurance in Section “A” that covers you, then complete Section “B”. Section “B” is about the automobile insurance of [text on screen and voice over] the vehicle you were involved in, the vehicle that hit you, or any other vehicle that may have been involved in the accident.

[text on screen] Parts 5 through 8 - Applicant Status

[voice over] These next few sections are able to tell us about your activities before the accident, and if you are still able to do them now.

[text on screen] Part 5 Applicant Status

[voice over] Part 5 is asking for your employment information in the year before the accident happened. There’s also more information about your employment in Part 8 of this Application form.

[text on screen] Part 6 Student Attending School

[voice over] Part 6 asks if you were attending school or had finished school less than one year before the accident. Let us know if you were able to go back to school after the accident, and if you are currently attending school.

[text on screen] Part 7 Caregiver

[voice over] Part 7 is about caregiving. If you were taking care of anyone living with you before the accident you’ll need to complete this section.

If you were not getting paid for providing care (for family members, like your kids), and you cannot provide that care now because of the accident, please complete the rest of section 7.

If you were paid for providing that care, please mark “No” where it asks and continue to Part 8.

[text onscreen] Part 8 Income Replacement Determination

[voice over] In Part 8 of the form, we will need the details of your employment before the accident. If you were self-employed, list yourself as the “Employer”. If you worked at several jobs over the past one year before the accident, please list all of your employment information.

It’s important for us to know if your injuries from the accident are preventing you from working now. If you returned to work after the accident, please let us know when that happened.

If you didn’t return to work within 7 days after the accident, your Claims Advisor may ask you to have your health provider complete the Disability Certificate.

You may also be asked for an Employer’s Form for each of your employers over the past year before the accident. Your Claims Advisor may ask for additional information like pay stubs or statements, or employment records that show your income.

[pause]

[text on screen] Part 9 – Other Insurance or Collateral Payments

[voice over] Part 9, Collateral Insurance. In this section, you will need to list all the other insurance policies you may have available to you for health care.

Unlike in the earlier Part 5, these aren’t limited to automobile insurance. Instead, these could be from your school, employer, your spouse, your parents, any disability plan, or the government (things like Employment Insurance or Social Assistance).

Please include as much detail about those plans as possible – including the policy numbers.

[text on screen and voice over] Part 10 – Motor Vehicle Accident Claims Fund

[voice over] Since you’re applying to us, this Part doesn’t apply to you. You don’t need to sign and date the Form here. Instead, that happens later, in Part 12.

[text on screen and voice over] Part 11 – Direct Payment Assignment by Applicant

[voice over] This part is where you tell us if you want us to pay your licensed service provider or facility directly for your treatments. If you want that, please check the box, and initial underneath. Otherwise, we will pay you directly and you will then be responsible for paying them.

If you go to an unlicensed provider or facility, you’ll have to pay out of pocket for the services, and then submit their invoice to us for reimbursement.

[text on screen and voice over] Part 12 – Signature

[voice over] You’re almost done!

Before you can send the Application Form to us, please review, sign and date the form here.

Your Claims Advisor will be there every step of the way to help in your recovery from the accident and will answer any questions you have!

Your claims advisor is there every step of the way

If you need help completing the forms or if you have questions about your claim, talk to your claims advisor. They’re there for you at every stage of the process.