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How to File a Claim

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  1. Print out a claim form.
  2. 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.
  3. Submit claim form to the following address:

    Old Republic Insurance Company of Canada
    insuremykids® Claims Department
    P.O. Box 557
    Hamilton, ON L8N 3K9