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90 na18210201744 91 241011

Ocf 3 disability certificate 2003 form-2025

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The document is a Disability Certificate (OCF-3) form used for reporting accidents occurring on or after November 1, 1996. It outlines the process for applicants to provide personal and accident-related information, which must be completed by a health practitioner. The form includes sections for applicant details, accident description, injury information, disability assessments, and health practitioner verification. It emphasizes the importance of accuracy and confidentiality in handling personal health information.

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Click ‘Get Form’ to open the ocf 3 disability certificate 2003 form in the editor.
Begin by filling out Part 1, which includes your personal information such as name, address, and date of birth. Ensure all details are accurate and clearly printed.
In Part 2, provide your insurance company information. Include the policy number and contact details for the insurance representative.
Describe the accident in Part 3. Be concise yet thorough about what occurred and any injuries sustained.
Sign Part 4 to authorize your health practitioner to share necessary health information with your insurer.
Parts 5 through 11 will be completed by your health practitioner based on their assessment. Ensure they have all required information for accuracy.

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Versions	Form popularity	Fillable & printable
2011	4.8 Satisfied (151 Votes)
2010	4.3 Satisfied (143 Votes)
2003	4.3 Satisfied (240 Votes)

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