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- Print out a claim form.
- Complete page 1 of the claim form. If the insured child is a minor, this form should be completed and signed by a parent or guardian.
- For non-dental claims: please have the Physician complete the Attending Physician's Statement on the second page of this form.
- For dental claims: please have the Dentist complete the Dental Claim form on the third page of this form.
- The company must be notified within 60 days of the date of the accident and proof of claim, including a report from the attending Doctor or Dentist, must be submitted within 90 days of the date of the accident.
Submit claim form to the following address:
Old Republic Insurance Company of Canada
insuremykids® Claims Department
P.O. Box 557
Hamilton, ON L8N 3K9