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 information
Damaged car seat or booster seat details
Do you have a receipt for the damaged car seat?

Disposal fees
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).
Upload images 
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

File nameFile type
File size
No files are attached
Payment options
Select your preferred payment method for reimbursement:
Direct deposit into my bank account. (You can sign up for direct deposit now. If you have not signed up for direct deposit before submitting this form, you will be sent a cheque.)
I prefer to receive reimbursement by cheque

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