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Material damage
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Investigative partners
Insurance services
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Investigative partners
Forms and documents
Investigative partners
Independent adjusters
Private investigators
Forms and documents
Page Content
Forms and documents​
Private investigators
Private Investigator Established Rates and Regions
Overview: Requirements for Private Investigators
CL268 - Itemized Statement of Account (private investigator)
CL356 - Performance Standards for Private Investigators
CL486 - Submit Multimedia Devices to ICBC
Independent adjusters
Independent Adjuster Established Rates
Medical Report Fees
CL300A - ICBC Payment Guide
CL315 - Independent Adjuster Invoice
CL315A - Independent Adjuster Activity Log
CL344 - Performance Standards for Independent Adjusters
Forms
CL174D - New/Change Vendor Application Professional
Medical, wage loss and benefit applications
CL15 - Certificate of Earnings
CL15A - Detailed Wage Loss
CL21 - Fatal Accident Benefits Application
CL22 - Insurance Claim Application
CL29C - Head Injury Symptoms Questionnaire
CL432 - Functional Requirements Questionnaire
Authorizations and advance payment agreements
CL230 - Advance Payment Agreement
CL230A - Advance Payment Agreement Part 7
CL237 - Authorization to Furnish Employment and Benefits Information
CL237A - Authorization to Provide Medical Information
CL237B - Authorization for Release of Patient Information
CL237C - Authorization for ICBC to Release Wage Loss Information
CL237D - Authorization to Release Educational Information
CL237E - Request and Authorization to Provide Medical Information
CL237J - Authorization for WorkSafeBC
Infant claims
CL29 - Guardian Settlement Agreement
CL29A - Payment Notice to Public Trustee
CL29B - Infant Settlement Proposal
CL29D - Child/Parent/Guardian Questionnaire
CL29E - Guardian Settlement Agreement and Assignment (Uninsured)
CL29F - Guardian Settlement Agreement - Represented
Material damage and property damage
CL37 - Automobile Proof of Loss
CL38 - Property Damage Release
CL96 - Salvage Release
Hit and run and unidentified
CL42 - Statutory Declaration
CL45 - Application for Payment Under Section 24
Releases
CL39 - Final Release
CL39A - Release and Agreement
CL39C - Release and Assignment - Uninsured - Out-of-Province
CL39D - Release and Assignment (Uninsured)
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