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IBC Claims Forms


IBC Claims Forms

​IBC Claims Forms are developed by IBC's Claims Committee to help standardize claims reporting. Forms may be used individually or treated 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.

Claims Forms (GST - for use in British Columbia, Alberta, Saskatchewan, Manitoba, Nunavut, Yukon and Northwest Territories):

​Automobile Accident Report
Automobile Proof of Loss
​Automobile Total Loss Report
​Disposition of Salvage Report
​Notice of Owner Retained Salvage
​Notice of Owner Retained Salvage - Branded "Salvage"
​Notice of Owner Retained Salvage - Branded "Irreparable"
​Final Release
​Indemnifying Agreement
​Authorization for Medical Information
​Authorization for Wage Information
​Medical Report
​Reservation of Rights Letter
​Non Waiver Agreement
​Consent to Settlement
​Agreement by Insured to Reimburse Insurer and Authorizing Insurer to Settle
​Fire Proof of Loss
​Fire Proof of Loss - Interim
​Proof of Loss (Other than Fire)
​Proof of Loss (Other than Fire) - Interim
​Schedule of Loss
Minor Accident and Loss Report
Property Loss Short Form Report
Automobile Accident Benefits Proof of Claim Form
​Automobile Policy - Section B - Accident Benefits
​Accident Benefits Medical Report
Automobile Policy - Section B - Accident Benefits: Continuing Claim
Automobile Accident Benefits Proof of Claim Form (Death Only)
​Employer's Confirmation of Income and Benefits
​Automobile Appraisal Form
​Automobile Repair Invoicing Authorization
Salvage Statement
​Agreement to Reimburse Recoverable Goods and Services Tax

Supplemental Claims Forms (HST - for use in Ontario, Quebec and Atlantic provinces* only):

Automobile Proof of Loss
​Automobile Total Loss Report
​Final Release
​Indemnifying Agreement
Fire Proof of Loss
​Fire Proof of Loss - Interim
Proof of Loss (Other than Fire)
​Proof of Loss (Other than Fire) - Interim
​Minor Accident and Loss Report
​Property Loss Short Form Report
​Automobile Appraisal Form
​Automobile Repair Invoicing Authorization
Salvage Statement
Agreement to Reimburse Recoverable Harmonized Sales Tax

* The HST took effect in Quebec on January 1, 2013 and in PEI on April 1, 2013. HST was eliminated in BC on April 1, 2013.