Forms

Download forms (PDF)
Please select the forms you need to download. Most of the forms include instructions, but if you need help with them, send us an e-mail.

 

Dental Claim Form (Dent-E)
Dental & Health Spending Account Claim Form (Dent-HSA-E)
Extended Health Care Claim Form (EHC-E)
Extended Health Care & Health Spending Account Claim Form (EHC-HSA-E)
Beneficiary Nomination (102G-E)
Beneficiary Nomination with Optional Benefits (102G-OPT-E)
Consent by Beneficiary Form (102C-E)
Statement of Health (3484-SL-E)
Statement of Health (Optional Life only) (3484-SL-OPT-E)
Enrolment Form (942-2755)
Group benefits enrolment form for plans with optional Life and/or Critical Illness (4197-E)
Group benefits enrolment/change form (945-0735)
Survivor Income Benefit (942-2715)
Qualification of Partner (942-2700)
Disqualification of Partner (942-2785)
Insurance options for plan members on termination of group benefits 4262-E

 

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