Get Canada Alberta Request For Collision Review 2021-2025

This guide provides a structured approach to completing the Canada Alberta Request For Collision Review form online. Following these steps will help ensure your submission is complete and accurate, facilitating a smoother review process.

Follow the steps to successfully complete the form.

1. Use the ‘Get Form’ button to access the Canada Alberta Request For Collision Review form and open it in your preferred document editor.
2. Provide your collision document number if available, along with the name of the carrier and their National Safety Code (NSC) number as shown on the Safety Fitness Certificate. Include the primary contact person's name, title, email address, and phone number.
3. In Section 1, attach all correspondences with your insurance company regarding the claim decision. If any correspondence is not available, provide an explanation.
4. In Section 2, input the date and time of the collision, ensuring to use the correct format (hh:mm am/pm and YYYY/MM/DD). Describe the collision location in detail, listing all relevant information.
5. Describe the road conditions in detail, including the layout (e.g., two lane undivided, four lane divided) and the quality of the road surface. Also, specify the environmental conditions at the time of the collision.
6. Move to Section 3 and fill in details about the applicant's vehicle, including the power unit license plate number and type of vehicle. Provide a detailed load description if applicable.
7. In Section 4, include the driver’s name, operator license number, and province or jurisdiction. Ensure the driver prepares a comprehensive statement covering all details from their perspective, along with a properly drawn diagram of the collision scene.
8. Complete Section 5 by certifying that the information provided is true and accurate. Sign the form as the carrier representative and include the date.
9. Once all sections are completed, save any changes made to the form. You can then download, print, or share the form as needed.

Submit your completed forms online to ensure a smooth review process.