Occupational therapist's initial assessment report on an ICBC claim.
- Completed by
- Occupational therapist
- Issued by
- ICBC
- Format
- Fillable PDF
- Language
- English
ICBC CL797A: Vehicle Adaptation or Acquisition Request
Occupational therapists use this five-page form to recommend vehicle adaptations, or a vehicle acquisition, so an ICBC customer with a crash-related disability can travel as a driver or passenger. If the customer drives, it is completed only after a Functional Driver Evaluation and only when the Claims Contact requests it. Each recommended adaptation needs a functional or objective rationale.
Who completes it
An approved occupational therapist completes the whole request, including the nature of the disability, mobility aids, current vehicle, recommendations and any wheelchair details, and certifies it.
Submitting and payment
- How to submit it
- Approved OTs submit it through the Health Care Provider Portal (HCPP). After review, the Claims Contact follows up, and quotes must not be sourced until written approval to proceed is received.
- Who pays
- ICBC funds up to two hours to complete the request at the Enhanced Accident Benefit Regulation hourly rate, with assessment time invoiced separately.
Good to know
- The make or model of vehicle and the cost funded are at ICBC's discretion; costs beyond the approved amount, or for modifications unrelated to the claim, fall to the customer.
- Adaptation options listed include hand controls, wheelchair lifts, a lowered floor, ramps, wheelchair securement, reduced effort steering and electronic assistive driving devices.
- For a subsequent request, list existing adaptations, the year of the last adaptation or acquisition, and whether equipment is failing or abilities have changed.
Get the official form
Download the current version from the source each time; forms change without notice.
Vehicle Adaptation or Acquisition Request
Fill it with Vero
Upload the fillable PDF once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
How this list is checked
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.
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Frequently asked questions
When should an OT complete the ICBC CL797A?
Only when the ICBC Claims Contact requests it. If the customer is a driver, the form says to complete it only after a Functional Driver Evaluation, and the evaluation's outcome goes into the reason for referral. The request also states whether the adaptation is for the customer as a driver or a passenger.
Can I get quotes for vehicle modifications before ICBC approves?
No. The form says that once ICBC receives and reviews it, the Claims Contact will discuss next steps, and quotes should not be sourced until or unless written approval to proceed has been received. Costs above the approved amount are the customer's responsibility.