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Third Party Liability Forms

Last updated on February 19, 2021

This page provides forms required for the purposes of submitting notice under sections 4, 10, 12 and 13 of the Health Care Costs Recovery Act.7

1492

Notice of Legal Proceeding

This form is used to notify the government of a claim where there is a legal proceeding.

1493

Information From Insurer

This form is used by the insurer to notify the Minister of an incident involving their insured.

1494

Beneficiary's Notice to Minister

This form is used by the beneficiary to notify the Minister of an incident.

1495

Notice of Proposed Terms of Settlement

This form is used to submit proposed settlement terms to the Minister for approval.

1499

Notice of Legal Proceeding s. 4(1.1)

This form is used to notify the government of a proposed class action proceeding.

Street Address:
Third Party Liability
Ministry of Health
2nd Floor – 1515 Blanshard Street
Victoria, B.C.
V8W 3C8

Mailing Address:
Third Party Liability
Ministry of Health
PO Box 9647 STN PROV GOVT
Victoria, B.C. V8W 9P4

Phone: 250 952-2034
Fax: 250 952-2090

Email: hlth.tpl@gov.bc.ca