Who can Fill out an OCF-1 Application?

The OCF-1: Application for Accident Benefits form can be filled out by the following individuals:

1. The Injured Person (Claimant) – If capable, the injured person should complete and sign the form to apply for accident benefits.

2. A Legal Guardian or Power of Attorney – If the injured person is a minor or unable to complete the form due to incapacity, a legal guardian, attorney under a power of attorney, or another authorized representative can fill it out on their behalf.

3. A Family Member or Caregiver – If the injured person is unable to complete the form themselves, a family member, caregiver, or spouse may assist in completing it. However, the injured person (or their legal representative) must sign the form.

4. A Lawyer or Licensed Paralegal – Personal injury lawyers or legal representatives often assist clients in filling out the OCF-1 form to ensure accuracy and completeness before submission.

5. An Insurance Representative or Adjuster – While insurance companies provide guidance on completing the form, they do not fill it out on behalf of the claimant. However, they can answer questions and explain eligibility for benefits.

6. A Health Care Provider – While healthcare professionals do not complete the OCF-1, they may provide medical information required for other forms, such as the OCF-3 (Disability Certificate), which is often submitted alongside the OCF-1.

The completed OCF-1 form must be submitted to the claimant’s auto insurance provider within 30 days of the accident to avoid delays in receiving benefits.