OCF-1: Application for Accident Benefits​

Key Information

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AF-145E

Form details

Form number: AF-145
Form title: OCF-1: Application for Accident Benefits​
Sector: Auto
Category:
SABs claims
Instructions on how to use the form:

The Application for Accident Benefits (OCF-1) form has been updated and is in a transition period until May 7, 2025. During this time, insurers can accept both the old and new versions of the form. If you use the old form, you’ll need to submit the previous Application for Accident Benefits Package, which includes the Application for Accident Benefits (OCF-1), Employer’s Confirmation of Income (OCF-2), Disability Certificate (OCF-3), Permission to Disclose Health Information (OCF-5), and Treatment Confirmation Form (OCF-23). If you use the new form, only the updated OCF-1 may be required, but check with your insurer as requirements may vary by claim.

As of May 7, 2025, only the updated form will be available for consumers looking to file for accident benefits.
Last update: 2024-11-07
Previous versions:

1224 OCF-1 Effective (2016-06-01)