Misc. Forms

The following forms are available for download in PDF format here.

Group Coverage Change Form
English
Download (129KB)
Group Coverage Change Form
French
Download (130KB)
Group Life Claim Report
English
Download (51KB)
Health Care Claim Form
English
Download (143KB)
Healthcare Claim Form
French
Download (156KB)
Assure Card Claim Form
English
Download (253KB)
Assure Card Claim Form
French
Download (97KB)
Dental Claim Form
English
Download (54KB)
Dental Claim Form
Franais
Download (135KB)
Long Term Disability Application for Benefits
English
Download (234KB)
Long Term Disability - Application for Benefits
Franais
Download (344KB)
Long Term Disability - Job Information
English
Download (198KB)
Long Term Disability - Job Information
Franais
Download (153KB)
Supplementary UI Application Form
English
Download (20KB)