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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 Claims Agreement.


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.