How to apply to the LAT-AABS as an insurer — and autofill 004-0455 with my-id.ca
File an insurer auto insurance dispute application without retyping company details
Insurance companies applying to the Licence Appeal Tribunal for automobile accident benefits disputes repeat insurer name, authorized representative contact, and claimant identifiers on every application. This guide is an example of storing them once in my-id.ca.
Official form and source
Start from the official source and always use the current version — form numbers and links can change:
- Service page: LAT-AABS application and hearing process — tribunalsontario.ca
- Form (Central Forms Repository): Application by an Insurance Company for Auto Insurance Dispute Resolution under the Insurance Act — 004-0455
What this form is about
Form 004-0455 is the Application by an Insurance Company for Auto Insurance Dispute Resolution under the Insurance Act, used when an insurer seeks a LAT-AABS ruling on a statutory accident benefits dispute — confirm filing rules at tribunalsontario.ca.
Before you start: what to gather
- Insurer legal name and company address.
- Authorized representative name, title, phone, and email.
- Claimant name and policy or claim number.
- Disputed benefit and decision being appealed.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your insurer name, representative contact, and claimant identifiers in your my-id.ca profile.
- Keep documents ready. Upload supporting documents to my-id.ca Files so you are not searching at form time.
- Autofill the form. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Review and submit yourself through the official channel.
Why do it in my-id.ca
Related Ontario forms repeat the same personal details. Captured once in my-id.ca — stored in Canada, with AI on its own servers — every form starts mostly complete.
Frequently asked questions
- How is this different from form 004-0457?
- 004-0457 is the injured person's application; 004-0455 is filed by the insurer — confirm which applies on tribunalsontario.ca.
- How does my-id.ca help?
- It autofills insurer addresses and representative contacts across LAT filings.
- What are the filing deadlines?
- Confirm limitation periods and fees at tribunalsontario.ca.
Fill it once. Reuse it everywhere.
Save your information in my-id.ca once, then autofill this form and the next one — web forms with the Chrome extension, PDFs right in the app. Your data is stored in Canada and AI runs on my-id.ca's own servers, never sent to third-party AI providers.