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Claims Agreements and Forms

As part of our ongoing commitment to improving processes for insurance providers and customers, we’ve created claims agreements and forms to help expedite claims settlement procedures.

Claims Agreements

These voluntary industry agreements are used to facilitate settlements and reduce or eliminate legal fees and court costs. IBC member and non-member companies can be signatories to the IBC Claims Agreements.

Agreements help insurers address conflicting coverage from different policies that may come into play for the same event or loss.

IBC members can access full text of the agreements on IBC's secure members' website.

  1. Agreement Respecting Standardization of Claim Forms and Practices, and Guidelines for the Settlement of Claims, 2002

  2. Agreement of Guiding Principles (Property Insurance), 1984

  3. Agreement of Guiding Principles Between Primary and Excess Liability Insurers Respecting Claims, 1996

  4. Agreement Respecting Disputed Losses Between Property Insurance and Boiler and Machinery Insurance Policies, 1980

  5. Reciprocal Agreement to Provide Copies of Accident Benefits Files Without Charging a Photocopying Fee, 2002

CICMA Agreement

Most automobile and general liability insurers have agreed to settle claim disputes through binding arbitration under the Canadian Inter-Company Arbitration Agreement. The Canadian Insurance Claims Managers' Association (CICMA) supervises the operation of this agreement and any amendments to it. IBC administers the agreement and maintains the signatories list:

NOTE 1. Owned and Non-owned Contents Agreement (Quebec) and its signatories are available from IBC Montreal office.

NOTE 2. To verify the status of a federal P&C company (name change, amalgamation, discontinuation, etc.), check the document produced by the Office of the Superintendent of Financial Institutions entitled, Note – Canadian and Foreign Insurance Companies and Fraternal Benefits Societies.

Claims Forms

These forms may be used individually or as an appendix to the Agreement Respecting Standardization of Claim Forms and Practices, and Guidelines for the Settlement of Claims, 2002.

NOTE: Claims Forms should not be confused with "Policy Forms" or "Policy Wordings", which are used for underwriting.

Claim Form No. 1 – Automobile Accident Report

Claim Form No. 1 – Automobile Accident Report (French)

Claim Form No. 2 – Automobile Proof of Loss

Claim Form No. 2 – Automobile Proof of Loss (French)

Claim Form No. 2A – Automobile Total Loss Report

Claim Form No. 2A – Automobile Total Loss Report (French)

Claim Form No. 2B – Disposition of Salvage Report

Claim Form No. 2B – Disposition of Salvage Report (French)

Claim Form No. 2C - Notice of Owner Retained Salvage

Claim Form No. 2C - Notice of Owner Retained Salvage (French)

Claim Form No. 2D - Notice of Owner Retained Salvage - Branded "Salvage"

Claim Form No. 2D - Notice of Owner Retained Salvage - Branded "Salvage" (French)

Claim Form No. 2E - Notice of Owner Retained Salvage - Branded "Irreparable"

Claim Form No. 2E - Notice of Owner Retained Salvage - Branded "Irreparable" (French)

Claim Form No. 3 - Final Release

Claim Form No. 3 - Final Release (French)

Claim Form No. 4 - Indemnifying Agreement

Claim Form No. 4 - Indemnifying Agreement (French)

Claim Form No. 5 - Authorization for Medical Information

Claim Form No. 5 - Authorization for Medical Information (French)

Claim Form No. 5A - Authorization for Wage Information

Claim Form No. 5A - Authorization for Wage Information (French)

Claim Form No. 5B - Medical Report

Claim Form No. 5B - Medical Report (French)

Claim Form No. 5C - Reservation of Rights Letter

Claim Form No. 5C - Reservation of Rights Letter (French)

Claim Form No. 6 - Non Waiver Agreement

Claim Form No. 6 - Non Waiver Agreement (French)

Claim Form No. 6A - Consent to Settlement

Claim Form No. 6A - Consent to Settlement (French)

Claim Form No. 6B - Agreement by Insured to Reimburse Insurer and Authorizing Insurer to Settle

Claim Form No. 6B - Agreement by Insured to Reimburse Insurer and Authorizing Insurer to Settle (French)

Claim Form No. 7 - Fire Proof of Loss

Claim Form No. 7 - Fire Proof of Loss (French)

Claim Form No. 7A - Fire Proof of Loss – Interim

Claim Form No. 7A - Fire Proof of Loss – Interim (French)

Claim Form No. 8 - Proof of Loss (Other than Fire)

Claim Form No. 8 - Proof of Loss (Other than Fire) (French)

Claim Form No. 8A - Proof of Loss (Other than Fire) - Interim

Claim Form No. 8A - Proof of Loss (Other than Fire) - Interim (French)

Claim Form No. 9 - Schedule of Loss

Claim Form No. 9 - Schedule of Loss (French)

Claim Form No. 10 - Minor Accident and Loss Report

Claim Form No. 10 - Minor Accident and Loss Report (French)

Claim Form No. 11 - Property Loss Short Form Report

Claim Form No. 11 - Property Loss Short Form Report (French)

Claim Form No. 12 - Automobile Accident Benefits Proof of Claim Form

Claim Form No. 12 - Automobile Accident Benefits Proof of Claim Form (French)

Claim Form No. 12A - Automobile Policy - Section B - Accident Benefits

Claim Form No. 12A - Automobile Policy - Section B - Accident Benefits (French)

Claim Form No. 12B - Accident Benefits Medical Report

Claim Form No. 12B - Accident Benefits Medical Report (French)

Claim Form No. 13 - Automobile Policy - Section B - Accident Benefits: Continuing Claim

Claim Form No. 13 - Automobile Policy - Section B - Accident Benefits: Continuing Claim (French)

Claim Form No. 14 - Automobile Accident Benefits Proof of Claim Form (Death Only)

Claim Form No. 14 - Automobile Accident Benefits Proof of Claim Form (Death Only) (French)

Claim Form No. 15 - Employer's Confirmation of Income and Benefits

Claim Form No. 15 - Employer's Confirmation of Income and Benefits (French)

Claim Form No. 16 - Automobile Appraisal Form

Claim Form No. 16 - Automobile Appraisal Form (French)

Claim Form No. 17 - Automobile Repair Invoicing Authorization

Claim Form No. 17 - Automobile Repair Invoicing Authorization (French)

Claim Form No. 18 - Salvage Statement

Claim Form No. 18 - Salvage Statement (French)

Claim Form No. 19 - Agreement to Reimburse Recoverable Goods and Services / Harmonized Sales Tax

Claim Form No. 19 - Agreement to Reimburse Recoverable Goods and Services / Harmonized Sales Tax (French)