Accident Lawyer free Consultation

Accident Law Group provides a free consultation session with an accident lawyer to discuss your case. We educate our clients about accident benefit settlements and accident benefits claim in Ontario. To book for an accident lawyer free consultation session, fill out the Accident Benefits Application Package form below.

  • Accident Benefits Application Package

    About this Application for Accident Benefits

    Please note that all automobile accidents involving bodily injury must be reported to the police. Claims for certain accident benefits must be made within 7 days. Please contact your adjuster for further information.

    There are five forms in this package:

    ■ Application for Accident Benefits (OCF-1)

    Fill out this form when you are applying for benefits for the first time as a result of an accident, including if you are injured and are applying for income replacement benefits. You may be eligible for weekly benefits even if you were unemployed or retired at the time of the accident. This Application for Accident Benefits form must be returned within 30 days.
  • Please complete the following form (OCF-1)

    1. If You Own, Lease, or Have Regular Use of a Company Automobile

  • 2. If You are a Listed Driver

    • You, your spouse or someone you are dependent upon does not own, lease, or regularly use a company automobile.
    • You are not listed as a driver on a policy.
  • 3. Occupant of Somebody Else’s Automobile

  • 4. Pedestrian or Bicyclist

  • 5. Uninsured Automobile

  • 6. None of the Above Apply

    If you do not have automobile insurance and no other automobile involved in the accident has automobile insurance or can be identified, you may be entitled to accident benefits from the Motor Vehicle Accident Claims Fund. Please complete the entire application package and see Part 10.
  • Application for Accident Benefits (OCF-1)

  • Use this form for accidents that occur on or after November 1, 1996.

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  • A separate form must be completed for each person who is applying for accident benefits. Completion of ALL sections is mandatory. Your application may be denied if information is incomplete or incorrect. Please print clearly.

    Part 1 Applicant Information

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  • Part 2 Applicant’s Representative (if applicable)

  • Part 3 Details and Health Information

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  • In order to determine which automobile insurer is responsible for paying benefits, it is necessary to know whether you have your own policy or whether you are covered by somebody else's insurance policy. To help make that determination, Details of complete the following:

    Part 4 Details of Automobile Insurance

  • Are you covered under any of the following automobile insurance policies?

  • If you answered “No" to all of the above, go to B. If you answered "Yes" to any of the above, complete the following:

  • If you answered “Yes” to more than one box in this part, provide additional insurance details below.

  • B If you checked "No" to all of the boxes in A you must send your application to the insurer of the automobile that you occupied at the time of the accident, or the vehicle that struck you if you were a pedestrian or bicyclist. If this automobile was not insured or was unidentified, describe any other vehicle involved in the accident. Provide details below.

  • Part 5 Applicant Status

    Which of the following describes your status at the time of the accident?

  • Part 6 Student Attending School

    Were you attending school on a full-time basis at the time of accident or had you completed your education less than one year before the accident?

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  • Part 7 Caregiver

  • NameDate of BirthDisabled 
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  • Part 8 Income Replacement Determination

    Give details of your employment for the past 52 weeks. Start with your current or most recent employer. If you held more than one position with the same employer, use a separate line for each position. Gross income is before taxes and deductions.

  • If you were self-employed during the 4 weeks prior to the accident, please consider yourself the employer for the purpose of completing this section.

  • From Year/Month/DayTo Year/Month/DayName and Address of Most Recent EmployerPosition/Essential TasksNo. of Hours Per weekGross Income for the period 
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  • Part 9 Other Insurance or Collateral Payments

  • Name of Benefit PayorType of CoveragePolicy or Certificate Number 
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  • Part 10 Motor Vehicle Accident Claims Fund


  • before the applicant can make an application for the payment of accident benefits from the MVACF.

    (* These forms are available at

    I certify that I have read this part and understand that this application for accident benefits is not complete until the required forms are completed, signed and provided to the MVACF.

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  • Motor Vehicle Accident Claims Fund
    P.O. Box 85
    5160 Yonge Street
    Toronto, ON M2N 6L9
    Toronto calling area: (416) 250-1422
    Toll Free: 1-(800) 268-7188

  • Part 11 Signature


    I UNDERSTAND that you, and persons acting for you, will collect personal information and personal health information about me that is related to my claims for accident benefits arising out of the accident described in this application, and that all such information will be collected directly from me or from any other person with my consent.

    I ALSO UNDERSTAND that you and persons acting for you will collect information about my driving record, automobile insurance policy history and automobile insurance claims history if they exist.

    I ALSO UNDERSTAND that if I am the holder of an automobile insurance policy, you, and persons acting for you, will collect the driving record, automobile insurance policy history and automobile insurance claims history of any listed drivers on my automobile insurance policy or other drivers whom I have permitted to drive my automobile.

    I ALSO UNDERSTAND that the information described above will be collected and used only as reasonably necessary for the purposes of:

    • Investigating my claims and processing my claims as required by law, including the Ontario Automobile Policy;
    • Obtaining or verifying information relating to my claims in order to determine entitlement and the proper amount of payment;
    • ecovering payment from insurers and others liable in law for amounts that you pay in connection with my claims;
    • Identifying and analyzing the nature and costs of goods and services that are provided to automobile accident victims by health care providers;
    • Preventing, detecting and suppressing fraud;
    • Compiling anonymized statistics for government agencies; and
    • Assessing underwriting risks and claims experience.

    I ALSO UNDERSTAND that you, and persons acting for you, may disclose this information to the following persons or organizations, who may collect and use this information only as reasonably necessary to enable you or them to carr out the purposes described above:

    Insurers; insurance adjusters, agents and brokers; employers; health care professionals; hospitals; accountants; financial advisors; solicitors; organizations that consolidate claims and underwriting information for the insurance industry; fraud prevention organizations; other insurance companies; the police; databases or registers used by the insurance industry to analyze and check information provided against existing information; and my agents or representatives as designated by me from time to time.

    I ALSO UNDERSTAND that you, and persons acting for you, may pool this information with information from other sources and may analyze this information for the limited purpose of preventing, detecting or suppressing fraud.

    I CONSENT and, if I am the holder of an automobile insurance policy, declare that I have obtained consent from the listed drivers on my policy and any other drivers whom I have permited to drive my automobile, to you collecting, using and disclosing this information in the manner described above, but no more of such information than is reasonably necessary to meet the legitimate purpose of such collection, use or disclosure.

    I UNDERSTAND that if I have any questions about this consent I am free to consult with my insurance company representative or legal advisor before signing this document.

    I AM ALSO AWARE that you, and persons acting for you, may be required or permitted by law to disclose this information to others without my knowledge or consent.

    I certify that the information provided is true and correct.

    I understand that it is an offence under the Insurance Act to knowingly make a false or misleading statement or representation to an insurer under a contract of insurance. I further understand that it is an offence under the federal Criminal Code for anyone, by deceit, falsehood, or other dishonest act, to defraud or attempt to defraud an insurance company.

    To obtain further information about how your consent relates to pooling and data analytics to prevent and detect fraud please visit

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  • This field is for validation purposes and should be left unchanged.


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