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CPP Disability Application

Application for Canada Pension Plan Disability Benefits

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Automobile Accident Benefit Forms

Summary of Accident Benefits

In the Province of Ontario, no matter who is at fault for a car accident, you may be entitled to collect certain benefits, called accident benefits. A list of potentially available compensation is provided here. A description of the Compensation including General Damages and Special Damages is also provided.

Summary of Accident Benefits Guide

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Compensation From a Car Accident Lawsuit Guide

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Application for Accident Benefits (OCF-1)

Fill out this form when you are applying for benefits for the first time as a result of an accident. Completing this form is the first step in an accident benefits application.

OCF-1 Application for Accident Benefits​ Form

Effective as on June 1, 2016: 

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Employer’s Confirmation of Income (OCF-2)

Please give a copy of this form to each of your employers over the past 52 weeks. This form is required if you are applying for income replacement benefits.

OCF-2 Employers Confirmation of Income Form

Effective as on June 1, 2016: 

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Disability Certificate (OCF-3)

This important form is required as part of your initial application. It tells the insurance company about your injuries. Please fill out the first section and give this form to your health practitioner (chiropractor, dentist, occupational therapist, nurse practitioner, optometrist, physician, physiotherapist, occupational therapist, speech language pathologist or psychologist).

OCF-3 Disability Certificate Form 

Effective as on June 1, 2016: 

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Death and Funeral Benefits (OCF-4)

If the insured is deceased as a result of an accident, certain family members may be entitled to death benefits. In addition, up to $6,000 may be provided by the insurer to cover funeral costs.

OCF-4 Death and Funeral Benefits Form

Effective as on June 1, 2016: 

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Application of Expenses (OCF-6)

You can apply for reimbursement of expenses incurred as a result of the accident and not covered under another plan. These include the costs of medical and rehabilitation treatment, lost educational expenses, caregiver, attendant care and household services, transportation expenses, expenses of visitors, and the cost to repair or replace lost or damaged clothing, hearing aids, etc. Please attach all bills and receipts.

OCF-6 Application of Expenses Form

Effective as on June 1, 2016: 

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Election of Income Replacement, Non-Earner or Caregiver Benefit (OCF-10)

You may qualify for more than one benefit.  The OCF-10 is used to select the most appropriate benefit based on your employment status and financial needs. You may not change your selection of benefits unless your injury is categorized as catastrophic. If you have any questions about completing the OCF-10, feel free to call our office and consult with a lawyer.

OCF-10 Election of Income Replacement

Effective as on September 1, 2010:

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Treatment and Assessment Plan (OCF-18)

This form is used to assess the level of treatment that you require. Parts 1 and 2 must be completed by you; your health professional/practitioner or social worker will complete the remainder of the form.

OCF-18 Treatment and Assessment Plan Form

Effective as on June 1, 2016: 

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Application for Determination of Catastrophic Impairment (OCF-19)

This form must be completed in full and submitted to your auto insurer if you wish to establish that you have suffered a catastrophic impairment as a result of your motor vehicle accident. Persons determined to have a catastrophic impairment are entitled to request extended medical, rehabilitation and/or attendant care benefits and other expenses. On the basis of this Application, your insurer may designate you as catastrophically impaired.

OCF-19 Application for Determination of Catastrophic Impairment

Effective as on June 1, 2016: 

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Treatment Confirmation (OCF-23)

OCF-23 Treatment Confirmation Form

Effective as on October 1, 2016: 

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Minor Injury Treatment Discharge Report (OCF-24)

OCF-24 Minor Injury Treatment Discharge Report Form

Effective as on June 1, 2016 

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Assessment of Attendant Care Needs (Form 1)

Use this form to report the future needs for attendant care required by the applicant as a result of an automobile accident that occurs on or after February 1, 2007. This form must be completed by a member of a health profession who is authorized by law to treat the person’s impairment (in this form referred to as a regulated health professional). 

Form 1 Assessment of Attendant Care Needs

Effective for Accidents as of March 31, 2008

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