What to do if you are injured in an Automobile Accident:

1. See a Primary Health Care Practitioner (chiropractor, medical doctor, physical therapist) as soon as possible for an assessment of your injury and, if needed, treatment advice.

2. File an injury accident report with the police.

3. Complete the attached Notice of Loss and Proof of Claim Form (AB-1), retain a copy for your records and send the original signed form(s) to the insurance company. If you are unable to send the form within the following timeframes, submit it to your insurance company as soon as practicable and explain the reason for the delay.

• If your injury is diagnosed as a sprain, strain or whiplash associated disorder I or II, submit this form within 10 days of the accident so that you can access accident benefits described as the "Diagnostic and Treatment Protocols."

• If you have other types of injuries, or you choose not to access the accident benefits described as the "Diagnostic and Treatment Protocols", submit the form within 30 days of the accident.

• If a family member is fatally injured in the collision, you can access funeral, grief counselling and death benefits. This form should be submitted within 30 days of the accident.

4. You will be contacted about the benefits you are entitled to receive after the insurance company reviews your completed form. If your insurance company needs any additional information in order to process your application, they will contact you.

If you have further questions about this form, the process, or your benefits, please contact your claims adjuster. If you do not know who your claims adjuster is, contact your insurer or the Insurance Bureau of Canada at 1-800-377-6378.