Forms and Policies

Not Sure Which Forms You Need?

Contact HSC Customer Care for Help Contact Us

• Abuse Declaration
• Accidental Death and Dismemberment Application
• Insurance Program Application
• Authorization for Access to Online Claims Service
• Common Room Insurance Application Form
• Consent Form to Release Insurance Information to HSC
• Directors and Officers Liability Insurance Application
• Excess Liability Application
• Non-Municipal Water Supply Application
• Pollution Liability and Cleanup Costs Insurance for Storage Tanks
• Property Managers’ Errors and Omissions Liability
• Renewal Application
• Tenants Support and Assisted Care Services (Miscellaneous Errors and Omissions) Application

Alternate Broker 2011-12

• Form A – Coverage Checklist
• Form B – Comparison of Insurance Premiums
• Form C – Intention to Obtain Alternate Coverage
• Form D – Decision to Obtain Alternate Coverage

Need Well Water Coverage?

Fill out and send the completed questionnaire to AON for approval.

Need Auto Coverage?

• Ontario Application for Automobile Insurance (for providers owning fewer than 10 vehicles)
• Fleet Automobile Application Form (for providers owning 10 or more vehicles)
• Commercial/Public Automobile Supplement (for providers owning 10 or more vehicles, to be completed along with the Fleet application)

Policies

To view insurance policies you must login with your Group Insurance username and password.
If you are an HSC Group Insurance member but cannot view the policies contact us

• 2011-12 Group Insurance Policy
• 2010-11 Group Insurance Policy
• 2009-10 Group Insurance Policy
• Drug Activity Exclusion Endorsement 2008
• 2008-09 Group Insurance Policy
• 2007-08 Group Insurance Policy
• 2006-07 Group Insurance Policy