Get Accident Benefits Application Package

This guide is designed to provide clear instructions on completing the Accident Benefits Application Package online. It will assist users in effectively navigating through the application process, ensuring all necessary information is accurately submitted.

Follow the steps to successfully fill out the Accident Benefits Application Package:

1. Press the ‘Get Form’ button to access the Accident Benefits Application Package and open it in your preferred editor.
2. Complete the first part, the Application for Accident Benefits (OCF-1). Fill in your personal information such as name, contact details, and date of birth. Make sure to choose the correct gender and provide your marital status.
3. In Part 3, provide details about the accident, including the date, time, and location. Clearly describe the event and any injuries sustained. Record if the accident was reported to the police and if a claim was filed with other relevant agencies.
4. In Part 4, indicate the details of your automobile insurance coverage. If applicable, list all policies to ensure proper processing of your benefits claim.
5. If you are employed, you will need to submit the Employer’s Confirmation of Income (OCF-2) form, which should be completed by your employer. Provide any required salary information accurately.
6. If requested, fill out the Disability Certificate (OCF-3) after consulting with a health practitioner. This form requires input from your healthcare provider detailing your medical condition resulting from the accident.
7. Complete the Permission to Disclose Health Information (OCF-5) form to allow your healthcare provider to share necessary information with your insurer.
8. Finally, sign and date the application, ensuring all sections are complete and accurate. You may now save changes, download the document, print it, or share it as needed.

Start filling out your Accident Benefits Application Package online today to ensure you receive the benefits you are entitled to.