This is the Representative Claim Form that must be completed by a Personal Representative claiming on behalf of:

  • Minors
  • Adults who are unable to manage their own affairs because of mental incapacity
  • Loved ones who passed away on or after November 20, 2017.
  • You must fill in this Claim Form if applying for Specified Injuries.

To get started, visit Claim Forms.

File Type: pdf
Categories: Community Tools (English)
Claim Form - Representative thumbnail