Ontario Claim Form 1 (OCF-1)
Application for Accident Benefits

Effective June 1, 2016.

You must fill out this form when you are applying for benefits for the first time as a result of your motor vehicle accident, including if you are injured and are applying for income replacement benefits. You may be eligible for weekly benefits even if you were unemployed or retired at the time of your motor vehicle accident.

This Application for Accident Benefits form must be returned within 30 days after receiving the package. If you are unable to return it within 30 days, submit it to your insurance company anyway and explain why you were not able to complete it within 30 days.

Return the original form to the insurance company and make a copy for your records.

Please print clearly.

If you want to learn more about the companion accident benefits claim, and kickstarting the accident benefits application process, then please click the “link” to read my blog entitled “How to Get Your Accident Benefits Application Started”.