Please find the most recent versions of the forms below
OCF-1: Application for Accident Benefits
OCF-2: Employer’s Confirmation Form
OCF-3: Disability Certificate
OCF-4: Death and Funeral Benefits Application
OCF-5: Permission to Disclose Health Information
OCF-6: Expenses Claim Form
OCF-9: Explanation of Benefits Payable by Insurance Company
OCF-10: Election of Income Replacement, Non-Earner or Caregiver Benefit
OCF-12: Activities of Normal Life
OCF-13: Declaration of Post-Accident Income and Benefits
OCF-18: Treatment and Assessment Plan
Accessible version
OCF-19: Application for Determination of Catastrophic Impairment
OCF-21: Auto Insurance Standard Invoice
OCF-22: Application for Approval of an Assessment or Examination
OCF-23: Treatment Confirmation Form
OCF-24: Minor Injury Treatment Discharge Report
OCF-25: Notice of Examination
OCF-26: Voluntary Consent for Pre-Claim Examination
Settlement Disclosure Notice
Form 1: Assessment of Attendant Care Needs