Form 004-0455E Application by an Insurance Company for Auto Insurance Dispute Resolution Under the Insurance Act - Ontario, Canada

Form 004-0455E is used by insurance companies in Ontario, Canada, to apply for auto insurance dispute resolution under the Insurance Act. It is a form that allows insurance companies to seek resolution for disputes related to auto insurance coverage.

The Form 004-0455E Application is filed by the insured individual or policyholder, not the insurance company.

FAQ

Q: What is Form 004-0455E?
A: Form 004-0455E is an application form used by insurance companies in Ontario, Canada to initiate the dispute resolution process for auto insurance cases under the Insurance Act.

Q: Who can use Form 004-0455E?
A: This form can be used by insurance companies operating in Ontario, Canada.

Q: What is the purpose of using Form 004-0455E?
A: The purpose of using Form 004-0455E is to request a resolution for a dispute related to auto insurance under the Insurance Act.

Q: Is Form 004-0455E applicable to personal or commercial auto insurance disputes?
A: Form 004-0455E is applicable to both personal and commercial auto insurance disputes.

Q: Do I need legal representation to use Form 004-0455E?
A: No, legal representation is not required to use Form 004-0455E.

Q: What information is required in Form 004-0455E?
A: Form 004-0455E requires information such as the names of the parties involved, policy details, a summary of the dispute, and supporting documentation.

Q: What happens after submitting Form 004-0455E?
A: After submitting Form 004-0455E, the insurance company may be contacted by the Financial Services Regulatory Authority of Ontario (FSRA) to further investigate and resolve the dispute.