Get Disclosure To Claimant Form - Government Of Newfoundland And ...

Filling out the Disclosure to Claimant Form is an essential step in the automobile insurance claims process. This guide provides clear and concise instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete the form online:

1. Click ‘Get Form’ button to access the form and open it in your preferred digital editor.
2. Carefully read the introductory information provided on the form. It outlines important points regarding surveillance and the implications of making false claims.
3. Locate the section that confirms you understand that an insurance company can conduct surveillance without your consent. Acknowledge this statement by initialing or checking the appropriate box as required.
4. Next, find the information regarding claims against another driver. Ensure you understand the obligations of the other driver's insurance company and what you can expect in the claims process.
5. If applicable, note the statements regarding seat belt usage and how it can affect your claim. Prepare to provide evidence if your injuries would remain unchanged regardless of seat belt use.
6. Review the conditions concerning loss of income. Make sure you understand how deductions for Employment Insurance premiums, Canada Pension Plan contributions, and Income Tax apply.
7. As you reach the end of the form, ensure you understand the $2,500 deductible that applies to non-economic losses. This is particularly relevant for claims related to pain and suffering.
8. Finally, confirm that you have received this disclosure form. Sign and date the form in the designated area. It is important to keep a copy of this signed form for your records.
9. Once completed, return the form to the insurance company by e-mail or traditional mail. Ensure you include a note that states, 'I acknowledge receiving the Disclosure to Claimant Form.'

Complete your forms online for a streamlined experience.