Get Settlement Disclosure Notice

Filling out the Settlement Disclosure Notice is a crucial step in the process of finalizing your accident benefits claim. This guide will provide you with clear, step-by-step instructions to help you easily complete this document online.

Follow the steps to complete your Settlement Disclosure Notice online.

1. Click the ‘Get Form’ button to obtain the Settlement Disclosure Notice and open it in your preferred digital editing tool.
2. Begin with the section regarding the insurer's offer to settle. Enter the amounts offered for income replacement benefits, non-earner benefits, caregiver benefits, medical benefits, rehabilitation benefits, attendant care benefits, and any other relevant expenses.
3. In the ‘Total Offer’ field, ensure that you accurately summarize the total amount being offered by your insurer in connection with the settlement.
4. Read the notice explaining the consequences of agreeing to the settlement carefully. Make sure you understand the rights you may be giving up by signing the Settlement Disclosure Notice.
5. Complete the insurer’s acknowledgment section, where the insurer must certify that they have made all relevant medical records and reports available. Include necessary signatures and information.
6. Fill out the insured’s acknowledgment section by providing your signature and the date. This acknowledges that you have received and read the notice.
7. Finally, ensure you save your changes. Depending on your needs, you can download, print, or share the form once completed.

Complete your Settlement Disclosure Notice online today to facilitate your claims process.