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
• ​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)