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Click ‘Get Form’ to open the Critical Accident Recovery Plan in the editor.
Begin with Part A, filling in your Certificate Information. Ensure you provide accurate details such as your name, address, and date of birth.
In Section 2, complete the Insured Person's Statement. Describe the nature of your injury and provide dates for when the injury occurred and when you were admitted and discharged from the hospital.
If applicable, proceed to Section 3 for Electronic Funds Transfer Authorization. Indicate if you wish to have your claim payment deposited directly into your bank account by providing necessary banking details.
Finally, review Section 4 for Declaration, Authorization & Signature. Ensure all information is accurate before signing and dating the form.
For Parts B and C, detach Part B for your physician to complete and gather any additional supporting documentation required in Part C.
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