Forms
 
 

All forms must viewed with Adobe Acrobat Reader.

Benefit Forms

Application for Plan Membership (Health & Welfare and Pension)

Compassionate Care Top-up Claim Form

Critical Illness Notice of Claim Form

Dental Benefits Claim Form

Disability Benefits Claim Form
Medical Benefits Claim Form



Prescription Drug Claims

List of Prescription Drugs Requiring Special Authorization
Prescription Drug Special Authorization Request

 

Wellness and Dental Centre Forms

Dental History Form
Health History Form
Patient Privacy Consent Form

Pension Forms

Application for Pension Benefits Form
Application for Plan Membership (Health & Welfare and Pension)

Spousal Waiver of Pre Retirement Death Benefit

 

 
 
 

 

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