Frequently Asked Questions

What should I do if I get involved in a motor vehicle accident?

If you have been involved in an accident, you should:

  • Seek medical assistance immediately.
  • Try to obtain details of the parties involved in the accident includingtheir name, address, phone number and insurance policy. If anywitnesses are present, get their details as well.
  • Report your accident to the police within 24 hours of the accident.Inform your insurer that you have been injured in an accident within 7 days of your accident.
  • Get legal Representation as soon as possible
When should I see a lawyer?

In addition, Ontario legislation mandates certain timelines and limitations which need to be met in order to advance a claim. A failure to comply with these limits may be damaging or prejudicial to your claim and in some circumstances may bar you from bringing any action.

In these circumstances, you will need trustworthy and reliable legal representation. At Grillo and Associates, we will provide professional and sound legal advice and representation for every step of your claim, so that you can focus on your recovery.

How much does a lawyer charge?

Legal fees can be very costly and some law firms may require a retainer of hundreds, or even thousands of dollars to work on your file. At Grillo and Associates, we operate on a “no-win, no-fee” arrangement. This means that you only pay us, when you get paid. Occasionally, we may require a small retainer for our disbursements.

What is an Accident Benefit Claim (1st party claim)?

An Accident Benefits Claim is a claim that you make to your own automobile insurer for benefits you may be entitled to as a result of the accident. These benefits may include: Income Replacement Benefits; Caregiver Benefits; Non-Earner Benefit; Housekeeping Benefit; Attendant Care Benefit; and your Medical and Rehabilitation costs.

Can I make a claim for accident benefits if I do not have insurance?

If you do not have insurance, certain provisions may still allow you to claim accident benefits under another insurance policy. For example, through the insurance of a spouse, an employer, or even the third party involved in your action.

Can I claim accident benefits if I am at fault?

Yes you may, however, you may be restricted from claiming certain benefits, such as housekeeping and income replacement benefits.

What benefits can I claim from my insurer if I am injured in a motor vehicle accident?

Your accident related injuries may leave you incapable of carrying out your work, personal care, activities of daily living and looking after your children or elders. If so, you may be entitled to the following benefits from your insurer:

  • Medical and Rehabilitation benefit: This includes physiotherapy, chiropractic, massage, acupuncture and other modalities.
  • Attendant care benefit: You may be entitled to compensation to hire help from another person who can care for your personal needs. This includes taking care of your personal hygiene, dressing and feeding.
  • Housekeeping assistance: You may be entitled to claim housekeeping assistance for a maximum of $100.00 per week, to have someone do the housekeeping activities you normally did prior to the accident. This benefit is only payable if you incur the expense of the housekeeping help.
  • Caregiver Benefits: You may be entitled to this benefit to a maximum of $250.00 per week, if you are the primary caregiver for a person in need of care, plus $50.00 per week for each additional person requiring care. This benefit is also only payable if you incur the expense of that care.
  • Income Replacement Benefits (IRB): You may be entitled to claim this benefit to replace your loss of income for up to 70% of your net weekly income prior to the accident, to a maximum of $400.00 per week.
  • Non-Earner Benefit: You may be entitled to $185 per week if you are not employed at the time of the accident. This benefit only starts six (6) months after your accident.
What if my insurer denies my benefits?

If your insurer denies your benefits, you are entitled to apply for Mediation with the Financial Services Commission of Ontario (FSCO).

What is a Mediation?

Mediation is a form of alternative dispute resolution, usually in the form of a teleconference meeting between yourself, your lawyer, the insurer and a mediator appointed by FSCO. This process is designed to allow an open discussion between you and your insurer, and can often be an avenue to discuss a partial or final resolution of your claim.

What if my Mediation is unsuccessful?

If your mediation fails, you are entitled to apply for an arbitration with the Financial Services Commission of Ontario.

What is an Arbitration?

An arbitration is another method of alternative dispute resolution. Arbitration hearings are similar to court proceedings, but a lot less formal, and cost efficient. The ultimate decision will be made by the hearing arbitrator who will have the power to decide your entitlement to the disputed benefits.

What is a Full & Final settlement?

A full and final settlement of you claim is a binding contract between you and an insurer (your own insurance or 3rd party insurance company) to settle your claim completely. This means that you will not be entitled to apply for any more benefits in relation to the accident in which you were involved. The release that you will sign will relieve the insurance company of any obligations that they may owe you in relation to that particular loss.

How long will it take to resolve my claim?

It is difficult to approximate exact timelines as to when your case will resolve. A number of different factors will be relevant if we are to appreciate the length of time it will take. These include the following:

  • The cause of injury, whether it is a motor vehicle accident, or slip & fall
  • The nature of your injury – whether it is minor or complex injury and whether it is temporary or permanent and ongoing
  • How long you take to obtain legal advice
  • The applicability of legal time limitations
  • The type of judicial system under which your claim will proceed, for example the Small Claims Courts, Superior Court General Division or through the Financial Services Commission of Ontario
I’ve heard that accident benefits claims cannot settle until the one year anniversary of my claim. Is this true?

Yes. Ontario automobile legislation mandates that your claim remain open for at least 1 year.

What is a Tort Claim (3rd Party Claim)?

A tort claim is a claim you make against an at-fault party in your motor vehicle accident, or, if your injury arose from a slip and fall or faulty product, against the relevant negligent party. This claim is designed to compensate you for your pain and suffering, loss of income, and out of pocket expenses that result from the incident.

Does everyone have the right to sue in tort?

No. If your tort claim arises from an automobile accident, you must meet the following requirements:

  • You are not at fault;
  • You suffer a permanent and serious impairment of an important physical, mental or psychological function, or a permanent serious disfigurement;
  • Your injuries surpass the statutory deductible of $15,000.00 if your accident occurred before October 1, 2003, or $30,000.00 if your accident occurred after October 1, 2003.

Your lawyer will assess your claim and advise you whether your claim will meet these requirements. Please note that the above requirements are not applicable if your claim is as a result of a slip and fall, or a faulty product.

How long do I have to sue?

For the most part, a third party claim must be commenced within 2 years of your accident. There are few exceptions to this rule, one of our lawyers can tell you if one of the exceptions applies to you.

My family members are also suffering as a result of my injuries – can they also make a claim?

Yes they may. Pursuant to the Family Law Act, children, grandchildren, parents, grandparents, brothers and sisters of the person injured/killed in an accident are entitled to recover their monetray losses resulting from the injury or death of that family member. Such monetary losses may include:

  • actual expenses reasonably incurred for the benefit of the person injured or killed;
  • actual funeral expenses reasonably incurred;
  • a reasonable allowance for travel expenses actually incurred in visiting the person during his or her treatment or recovery;
  • where, as a result of the injury, the claimant provides nursing, housekeeping or other services for the person, a reasonable allowance for loss of income or the value of the services; and
  • an amount to compensate for the loss of guidance, care and companionship that the claimant might reasonably have expected to receive from the person if the injury or death had not occurred.
Can I submit a claim for Accident Benefits (“AB”) if I was involved in a very minor accident?

Anyone who has sustained injuries as a result of a motor vehicle accident, regardless of the damage, is entitled to claim Accident Benefits.

What do I do with letters from the insurance company?

The insurer will be made aware that you are being represented for your AB Claim. Although we are copied on every correspondence sent to our clients, it is important that you review these letters to keep up to date on the status of your file. Ensure that you are not responding directly to the insurer when receiving these letters. Any requests made by the insurer will be handled by our firm. If we require additional information from you, you will be contacted by your legal representative directly.

What if I cannot return to work after the accident?

Claimants who are unable to work due to their accident injuries may be entitled to Income Replacement Benefits. If you have Short/Long Term Disability Benefits available to you, this may affect your entitlement to this benefit. Please consult your legal representative.
For more information on the Income Replacement Benefit, please refer to the following article: (insert link article on irbs)

Do I have to use my extended health benefits coverage?

As per the Statutory Accident Benefits Schedule, any extended health benefits coverage must be exhausted before the auto insurer will pay for your treatments and medication. If you are covered under any collateral benefits plan, ensure to advise your legal representative and the clinic you attend for treatment.

Am I still entitled to Accident Benefits if I have a pre-existing medical condition/injury?

Once your legal representative has requested and reviewed the relevant medical documentation, they will determine whether or not your pre-existing condition has an effect on your AB claim.

Do I have to advise my legal representative if I was/am receiving Employment Insurance/Ontario Works/ODSP or any other assistance?

Definitely. It is extremely important that your legal representative is aware of any benefits you are receiving as this may directly affect your entitlement to a specified benefit.

Am I entitled to Housekeeping Benefits?

As of September 2010, claimants may be entitled to the Housekeeping Benefit only if it is purchased as an optional benefit on their auto policy or their injuries are considered Catastrophic. In any case, please advise your legal representative of your difficulties with these tasks, as it can still be important to your claim.

Can I recover my out of pocket expenses through my auto policy?

Reasonable out of pocket expenses incurred as a result of the accident can be considered by the auto insurer. Please speak to your legal representative for more details.

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Remember, you will not pay any fee until your case is won or settled.

Client Testimonials
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Pino R
Pino R
16:53 17 Oct 18
My most recent visit at Grillo Barristers was with Evanee Y. A very polite and professional young lady. She was totally informative, attentive and enlightening. She came across very understanding and caring. Our business encounter was quick and easy. I left very satisfied. Indeed a pleasure, thank you.
Robin Spencer
Robin Spencer
16:41 09 Oct 18
I highly recommend Grillo Barristers especially personal injury lawyer, Rachelle Mitri. Rachelle and her team are professional and very personable. They provide excellent service and support to their clients and ensure that they are comfortable throughout the legal process. Rachelle and her support staff were always available to answer all of my questions and provided updates whenever possible.The outcome of my proceedings were extremely favourable and I recommend Grillo Barristers to anyone in need of personal injury lawyers.
Alex Ba
Alex Ba
14:54 04 Oct 18
My experience with Grillo Barristers began two years prior with a different lawyer than that which ended up following through with my case. I had mixed feelings back then, but with Anthony taking over, everything changed. He was able to instill confidence, assurance, and positivity throughout my experience with Grillo. When I thought that I had no chance with my case, he was able to pull through and deliver much more than I had ever expected. I thank Anthony and Grillo sincerely for all of their efforts, dedication, and hard work on ensuring the best outcomes for me. I would recommend Grillo for anyone seeking legal advice and support.
Bernadette Alcos
Bernadette Alcos
15:22 21 Sep 18
Rachelle was an absolute pleasure to work with. She represented myself and my needs with professionalism and compassion, with the complete understanding of my situation. She kept me informed on the status of my claim and was readily available to answer any questions and/or concerns. She is very diligent and prompt with her responses. Rachelle is an amazing lawyer and I highly recommend her services.
B Gaff
B Gaff
14:40 18 Sep 18
After my wife was in a car accident a little over 2 weeks ago (not her fault), we felt that no one was addressing her actual needs to get better until we walked into Grillo Barristers law firm. The minute we walked in our needs seemed to be their only concern. The receptionist made every effort to make sure we were comfortable while we waited for our appointment. Rinya our Intake Coordinator was pleasant and attentive to my wife's concerns and her needs for recovery. If the rest of the team is that good, we should be in great hands.
courtland holder
courtland holder
14:27 12 Feb 18
My wife & I had the pleasure of working with Alexander Lee and Ikbir Khongura. They were excellent in research and information, They both were on time and ready.. very professional and determined to get the best results for us. They worked very hard and made sure we as clients were comfortable, happy and well taken care of! Most importantly they are fighters, they made sure our best interest were put first and our needs were met. A lot of lawyers don't really care, but they made sure justice was served! They did an amazing job in taking care of us and will be recommending their services!
Jan MacMillan
Jan MacMillan
23:28 05 Feb 18
I worked with Rachelle Mitri and her team and I found the company in general and Rachelle in particular to be extremely professional, while being nice people to work with. Ms. Mitri kept me informed of my case. And guided me through an unfamiliar system with great diligence. I always felt valued and respected. Great Lawyers !
Theresa Dea
Theresa Dea
23:10 19 Dec 17
It's unbelievable how long it takes for the insurance companies to settle. They live by the fact that they can outlast you! Don't give up! Hang in there! Stefanie and her team worked hard and did an excellent job. I received the best settlement available!!!
Luci S.
Luci S.
21:46 08 Dec 17
From the moment Grillo Barristers took on my case, until I was able to come to my desired settlement, they have been nothing but amazing, caring and professional. I had an amazing team working on my case, and couldn't believe how well and timely my file was handled. My lawyer Anthony Andreopoulos, with the tremendous help of Justine and Zachary, constantly kept me updated with every action that was taken on the file and made me feel at ease knowing my case was in good hands. I couldn't have asked for a better firm to handle my file, so thank you guys so much for everything, I appreciate it more than you know!
Patrick k
Patrick k
19:13 07 Dec 17
Where do I begin?? I am not usually one to leave reviews on services but this one is definitely an exception. From start to finish, I felt incredibly comfortable having my claim in Grillo's hands. I felt as though the team was in complete control and I could just sit back and receive updates when necessary. With the utmost confident I can say that Grillo Barristers is the best personal injury law firm in Toronto. The process was quick, cheap and stress free. I must especially thank Lauren Sivitilli. Having very limited knowledge of lawsuits, Lauren was able to perfectly break the processes down for me and educate me on my claim. She was quick to answer emails addressing any concerns and always kept me up to date. I will definitely be recommending Grillo Barristers services to my family, friends and coworkers. Amazing!
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