Download Forms
When you report a claim for an accident or loss, in most cases you will be asked to submit forms to help us settle your claim. For your convenience, we have collected the most common forms in a downloadable format.
Forms
Accident Benefit Form (Ontario only)
To claim any benefit for which you may be eligible, you must submit a completed application (OCF-1) to us within 30 days of receipt. If you are unable to submit your application within the 30-day time frame, please contact us immediately to avoid jeopardizing your right to claim. Incomplete or illegible information may result in your claim being returned.
When we receive your completed application, we will process your claim quickly and advise you which benefits are covered by your policy. If we are unable to pay for any claim you submit, we will send you a written explanation, including any steps you may take if you disagree with us. If our explanation is not clear, please call and ask for clarification.
Click here to download a PDF of this form.
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Auto Accident Report Form
This form is requested if we are unable to talk to you directly about the details of the loss. On the form, you are asked to record the particulars of the accident, providing a description of how the accident occurred and details about the people and vehicles involved.
Click here to download a PDF of this form.
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Contents Valuation Form
Your Contents Valuation Report (C.V.R.) will serve as the basis of your contents property claim. Each item will have assigned an Actual Cash Value (A.C.V.) and a Replacement Cost (R.C.). We frequently advance the A.C.V. total. These funds can then be used to start purchasing those items you wish to replace.
If you do not replace an item, the A.C.V. or repair cost paid is the final settlement amount.
To claim Replacement Cost, simply send in the original receipt for the replaced item. It will help us process your claim if you identify the item(s) on the receipt by reference to the page and item numbers on the Contents Valuation Report. We will return receipts upon request.
You may replace any of the items before an A.C.V. calculation or payment, but we would ask you to discuss this with us before proceeding.
- The choice of whether to keep the A.C.V. or replace an item is yours!
- You do not have to replace everything at once. You have 180 days from the date of loss to complete purchases and to present receipts for items for which you wish to claim Replacement Cost.
- You have 1 year from the date of loss to finalize your A.C.V. claim.
- Use us as a resource. Ask questions, ask advice or request the use of our recommended suppliers. We respect that you may want to replace items on your own. If you prefer, given our experience with insurance replacement, we might be able to offer suggestions to make the process easier. We are here to help.
Your policy contains specific details of your coverages. Please read the policy and get in touch with us if you have any concerns.
Click here to download a copy of this form in Word.
Click here to download a copy of this form in Excel.
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Residence Inventory
How much can you lose? To claim under your insurance policies for loss or damage to your personal property, it is necessary to provide the adjuster with a complete inventory of the property lost or destroyed. This is made easier if you have completed an inventory before the loss occurs.
We suggest that you complete this form for each room in your home. While it may take time to complete, it may save time should a loss occur.
If the total amount of the inventory form comes to more than the amount of your insurance, you will have to contact your broker to arrange for additional coverage.
Keep this completed form in a safe place away from your home.
Click here to download a PDF of this form.
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Proof of Loss: Auto and Property
A Proof of Loss form is used to support your claim. Completion of the form acts as a sworn statement of your claim.
Click here to download a copy of the Auto Proof of Loss form.
Click here to download a copy of the Property Proof of Loss form.
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