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Statutory Accident Benefits Schedule (SABS) Claims (OCF) Forms

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

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At Claim Accident we take pride in helping you connect with the necessary team of professionals who will listen and will guide you based on your individual needs every step of the way. It is our goal to ensure that our clients and their families receive maximum compensation, best medical care and continuous support.

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Claim Accident Services

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Toll-free: 1 (844) 722-5246

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