Third Party Liability Forms

This page provides forms required for the purposes of submitting notice under sections 4, 10, 12 and 13 of the Health Care Costs Recovery Act.7

1492

Notice of Legal Proceeding

This form is used to notify the government of a claim where there is a legal proceeding.

1493

Information From Insurer

This form is used by the insurer to notify the Minister of an incident involving their insured.

1494

Beneficiary's Notice to Minister

This form is used by the beneficiary to notify the Minister of an incident.

1495

Notice of Proposed Terms of Settlement

This form is used to submit proposed settlement terms to the Minister for approval.