Feel free to print off a Supply Request Form and FAX it to the Service Centre if you'd rather we mailed you supplies. But, if printing forms from your computer is more convenient for you, you've come to the right place.
Each of the following Enrolment/Administration and Claims forms is a .pdf file. To open it, you'll need Adobe Acrobat software on your computer. If you don't have Acrobat, click on the Adobe link to the right of this page to get the software without charge.
Viewing forms may require Adobe Acrobat Reader. You can download this free program by clicking here
Enrolment/Administration
Application for Continuation of Benefits During Leave English | Français
Application for Extension of Benefits at Employee's Termination of Employment
Weekly Indemnity / Short Term Disability | * Please call (info below)
*Please contact the Service Centre for help submitting this type of claim. The information we need may vary so please contact a service representative so we can help speed the process for you.
Call 1-800-893-7587
Efficient Plan Management
monthly reporting gives you the information you need to identify claim trends within your own group.
