Ontario Claim Form 2 (OCF-2)
Employer’s Confirmation of Income
Effective June 1, 2016.
If your insurance company asks you to complete this form, then fill in parts 1 through to 3 and give the form to your employer or former employer(s) to complete the rest.
Please remember, If you had more than one employer during the past 52 weeks, then must have each employer you listed on your Application for Accident Benefits form fill out a separate form.
Your insurance company may ask for other proof of income.
Extra forms are available from your insurance company.
Your employer(s) will return the form(s) directly to the insurance company.
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”.
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