Benefit coverage application for dependents with a disability.

Complete a direct deposit form to have your claim cheques deposited directly into your bank account.

Disabled and unable to work? Complete the Disability Self Pay Extension form to request to self pay for benefit coverage.

Complete this Prior-Authorization form prior to claiming for medicinal cannabis.

Moving and looking to change your home address? Complete the Member Change of Address Form.

New Member Enrollment / Application card or to add / change existing Dependents and beneficiaries.

Lost / Misplaced your Member Advantage Benefit Card? Complete the Replacement Benefit Card Application to request a new card.

Physician to complete the Speech Therapy Medical Questionnaire for dependent children prior to incurring speech therapy claims. Benefit available to dependent children only.

Complete this form if you are transferring Locals and are moving your hour bank.

Approved for W.S.I.B. and unable to work? Complete this Information Form for fund assistance and to request to self pay for benefit coverage.