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Service Alert
Scheduled outage
Mitchell Estimating Products and Health Care Providers Invoice and Reporting application will be unavailable from May 28th, 2020, from 8:30 pm to May 29th, 2020, 2:00 am for scheduled 10G Internet Edge Migration maintenance.
Last updated Tuesday, May 26, 2020 09:30 AM
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Material damage
Health services
Legal services
Driver services
Investigative partners
Insurance services
Road safety
in Material damage
in Health services
in Driver services
in Investigative partners
in Insurance services
in Road safety
Material damage
Health services
Legal services
Driver services
Investigative partners
Insurance services
Road safety
Site requirements
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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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