Contents

Autofill Ontario Auto Insurance Insurer Dispute

File an insurer auto insurance dispute application without retyping company details

Insurance companies applying to the Licence Appeal Tribunal for automobile accident benefits disputes repeat insurer name, authorized representative contact, and claimant identifiers on every application. This guide is an example of storing them once in hivi.

Official form and source

Start from the official source and always use the current version — form numbers and links can change:

What this form is about

Form 004-0455 is the Application by an Insurance Company for Auto Insurance Dispute Resolution under the Insurance Act, used when an insurer seeks a LAT-AABS ruling on a statutory accident benefits dispute — confirm filing rules at tribunalsontario.ca.

Before you start: what to gather

  • Insurer legal name and company address.
  • Authorized representative name, title, phone, and email.
  • Claimant name and policy or claim number.
  • Disputed benefit and decision being appealed.

Confirm the current process on ontario.ca.

How hivi makes it faster

  1. Save it once. Store your insurer name, representative contact, and claimant identifiers in your hivi profile.
  2. Keep documents ready. Upload supporting documents to hivi Files so you are not searching at form time.
  3. Autofill the form. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
  4. Review and submit yourself through the official channel.

Why do it in hivi

Related Ontario forms repeat the same personal details. Captured once in hivi — stored in Canada, with AI on its own servers — every form starts mostly complete.