New Dispute Resolution Services Forms
Effective September 1, 2010 FSCO's Dispute Resolution Forms A and Chave been revised to reflect reforms to Ontario automobile insurance that will take effect September 1, 2010. Forms A, B, C and D have been amended to include a field where Claimants/Applicants have the option to include an email address.
The affected forms are:
- Application for Mediation (Form A) *
- Response to an Application for Mediation (Form B)
- Application for Arbitration (Form C) *
- Agreement to Neutral Evaluation at the Commission (Form D)
*The old forms will not be accepted after December 1, 2010
Please refer to Bulletin A-18/10, Implementing Auto Insurance Reforms: Updated Dispute Resolution Practice Code and Revised Forms for more information.
The forms are available in the Forms section of FSCO’s website under Dispute Resolution Forms .
If additional information is required, please contact FSCO’s Dispute Resolution Services:
- For information about mediation forms call:
In Toronto: 416-590-7210 or
Toll Free: 1-800-517-2332 ext. 7210
- For information about arbitration forms call:
In Toronto: 416-590-7202 or
Toll Free: 1-800-517-2332 ext. 7202
The old forms will not be accepted after September 1, 2010.
Adobe Acrobat® Reader enables you to view and print PDF documents, as well as use Fillable/Saveable PDF* forms. Download the latest version of Adobe Acrobat® Reader by visiting the Adobe Website.
* Please Note: In order to make use of the "SAVE" feature, Adobe Acrobat® Reader version 7.0 or higher must be installed.


