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Choose how to get the form and submit

1

Step 1

Print the form and read the instructions carefully, along with the application checklist

Download the Form Here
2

Step 2

Fill in the form using blue ink pen

3

Step 3

Once the form is completely filled out, please submit all documents in person or courier to the address below:

CCWU
1263 Wilson Avenue, Suite 205
Toronto, ON M3M 3G2

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Need Help? We can help

Contact the Digital Benefits Help Desk

We know that you may have questions or need assistance to find the information you are looking for. We’re here to offer answers and help in any way we can. Please don’t hestitate to Contact Us if you have questions about the following, or anything else.

Finding what you need on the
CCWUcare website

Accessing claim EOBs
(Explanation of Benefits)

Registering or updating your
CCWUcare accounts

Downloading mobile apps and
using our web portal

Updating banking information for claims direct deposit (Electronic Funds Transfer)

Acquiring Member
Advantage benefit cards

Submitting online claims forms