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-10: Election of Income Replacement, Non-Earner or Caregiver Benefit
OCF-18: Treatment and Assessment Plan
OCF-19: Application for Determination of Catastrophic Impairment
OCF-21: Auto Insurance Standard Invoice
OCF-23: Treatment Confirmation Form
OCF-24: Minor Injury Treatment Discharge Report
Settlement Disclosure Notice
Form 1: Assessment of Attendant Care Needs