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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 4890-84E
for the current year.
Form 4890-84E Request for Access to Personal Claims History (Pch) Information by Individual or Individual's Substitute Decision Maker - Ontario, Canada
FAQ
Q: What is Form 4890-84E?
A: Form 4890-84E is a request form to access Personal Claims History (PCH) information in Ontario, Canada.
Q: Who can fill out Form 4890-84E?
A: Individuals or their substitute decision makers can fill out the form.
Q: What is Personal Claims History (PCH) information?
A: Personal Claims History (PCH) information contains records of claims made by an individual in Ontario, Canada.
Q: Why would someone need to access their Personal Claims History (PCH) information?
A: People may need to access their Personal Claims History (PCH) information to review their past claims or for legal or insurance purposes.
Download Form 4890-84E Request for Access to Personal Claims History (Pch) Information by Individual or Individual's Substitute Decision Maker - Ontario, Canada
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