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Forms
Long Term Care
Coverage Details
Description
Claim for Long Term Care Benefits if you or your spouse require support with activities of daily living at home or at long term care facility.
Applicable for
Member / Spouse
Submit your form online:
Step 1
Download, print and fill out the form.
Download Form Step 2
Upload the form using our online submission form.
Upload NowSubmit by mail:
CCWUcare
200 Labourers Way
Vaughan, ON, L4H 5H9
Suite 2100
