Child car seat and booster seat reimbursement request
Personal information contained on this form is collected under section 26 of the Freedom of Information and Protection of Privacy Act and will be used for processing your Child car seat and booster seat reimbursement request. For any questions about the collection of information, please contact your claims representative.
All the following fields are required.
Contact informationDamaged car seat or booster seat detailsDo you have a receipt for the damaged car seat?* Required
Have you purchased a replacement seat?* Required
Do you have a receipt for the replacement seat?* Required
Important Please upload a copy of the receipt below.
Important You are eligible for a set amount only.
Important Damaged seat(s) must be disposed and not re-used. You are responsible for the disposal of the seat. ICBC does not accept and/or dispose of damaged seats at any of our locations.
I was charged a fee for disposal of the damaged seat(s). I have a receipt for the disposal fee. ImportantPlease upload a copy of the receipt below.
Important Disposal fees cannot be reimbursed without a receipt.
Please upload an image or copy of the original receipt(s) either as a jpg, png or pdf file (up to 6MB per file, total of 25MB):Drag and drop files here
Payment optionsSelect your preferred payment method for reimbursement:I prefer to receive reimbursement by cheque
* Required