Third Party Liability Forms
Last updated on April 7, 2026This page provides forms required for the purposes of submitting notice under sections 4, 4.1, 10, 12 and 13 of the Health Care Costs Recovery Act.
1488 |
Notice of Third Party Claim This form is used to notify government of a third party claim. |
|---|---|
1489 |
Information from Uninsured Defendant This form is used by an uninsured defendant to provide information requested by government. |
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. |
1499 |
Notice of Legal Proceeding s. 4(1.1) This form is used to notify the government of a proposed class action proceeding. |