Ontario Claim Form 4 (OCF-4)
Death and Funeral Benefits Application

Effective March 1, 2006.

This form must be completed by, or on behalf of, the spouse and dependant(s) of the deceased, and any other person entitled to claim for benefits.

If more than one person is applying for benefits, they can apply together or separately.

If you have not done so, please complete the OCF-1: Application for Accident Benefits form.

Please remember to attach a copy of the death certificate.

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”.