Refer an accident benefits assessment without retyping claimant details

Claimants, insurers, and health professionals requesting a designated assessment under statutory accident benefits repeat injured person name, address, insurer details, and treatment provider information on every OCF-11A referral. 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:

• Service page: Automobile insurance regulation (O. Reg. 250/15) — ontario.ca
• Form (Central Forms Repository): Designated Assessment Referral (OCF-11A) — 013-ocf-11a

What this form is about

Form 013-ocf-11a (OCF-11A) is the Designated Assessment Referral used in Ontario's statutory accident benefits dispute process — confirm when a designated assessment is required on ontario.ca and fsrao.ca.

Before you start: what to gather

• Injured person's full legal name and address.
• Auto insurer name and policy or claim number.
• Health professional name, clinic, and contact details.
• Assessment type and dispute summary — confirm on fsrao.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your claimant name, address, and insurer 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.