CL113F - Notification of Direct Rental
Complete and submit this form to the handling Claim Centre (as outlined in the collision repair program guide) when collision repair program participant determines they are unable to satisfy a customer (with access to coverage for expenses incurred in renting a replacement vehicle) through ATS.

If ICBC does not receive this form as outlined in the collision repair guide, then the participant must meet all of the customer's alternate transportation needs for the duration of the repair.

Note: To see the locations and dates applicable to this form, please visit the collision repair program page.
* required
Location Lower Mainland  Outside Lower Mainland *
Claim Office Location   *
Repair Shop Name   *
Repair Shop Email   *
Repair Shop Phone Number    *
Claim Number    *
Registered Owner Name   *

Car In Date    (DD-MMM-YYYY) *
Unable to Provide ATS Due To   *
Anticipated Repair Time   *
Anticipated Rental Agency   *

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CL113F (052020)