Form 4891-84 Request for Disclosure of Personal Claims History (Pch) Information to a Third Party - Ontario, Canada

Form 4891-84 is used in Ontario, Canada to request the disclosure of personal claims history (PCH) information to a third party. This form allows individuals to authorize the release of their insurance claims history to another person or organization for various purposes, such as insurance quotes or policy applications. It helps in providing necessary information for making informed decisions regarding insurance-related matters.

The Ministry of Health in Ontario, Canada files the Form 4891-84 Request for Disclosure of Personal Claims History (PCH) Information to a Third Party.

FAQ

Q: What is Form 4891-84?
A: Form 4891-84 is a request form for disclosure of Personal Claims History (PCH) information to a third party in Ontario, Canada.

Q: Who can use Form 4891-84?
A: Individuals in Ontario, Canada who want to request their Personal Claims History (PCH) information to be disclosed to a third party can use Form 4891-84.

Q: What is Personal Claims History (PCH) information?
A: Personal Claims History (PCH) information refers to records of an individual's insurance claims history that may include details of past claims and insurance transactions.

Q: Why would someone need to request disclosure of their Personal Claims History (PCH) information?
A: Someone may need to request disclosure of their Personal Claims History (PCH) information to provide the information to an employer, potential landlord, or other third party for various purposes such as insurance applications or rental applications.

Q: Is there a fee for submitting Form 4891-84?
A: Yes, there is a fee for submitting Form 4891-84. The current fee can be found on the form or by contacting the relevant authority in Ontario, Canada.

Q: How long does it take to process a request for disclosure of Personal Claims History (PCH) information?
A: The processing time for a request for disclosure of Personal Claims History (PCH) information may vary. It is recommended to contact the relevant authority in Ontario, Canada for more information on processing times.

Q: Can Form 4891-84 be used for disclosure of Personal Claims History (PCH) information in other provinces of Canada?
A: No, Form 4891-84 is specific to Ontario, Canada. Other provinces may have their own forms or processes for requesting disclosure of Personal Claims History (PCH) information.