Quick Contact
Ottawa office
466 Tremblay Road
Ottawa, ON K1G 3R1

Tel: 613-231-2266
Fax: 613-231-2345
Toll Free: 1-888-613-1234
Winnipeg office
175 Hargrave Street, Suite 100
Winnipeg, MB R3C 3R8

Tel: (204) 942-4438
Fax: (204) 943-5998
Toll Free: 1-888-204-1234

Claims forms

Need a medical or dental claim form?

To download forms, click the appropriate link and follow the instructions.

Ottawa dental and medical claim forms
If our Ottawa office handles your claims, please use these claim forms.

Winnipeg dental and medical claim forms
If our Winnipeg office handles your claims, please use these claim forms.

To find the office responsible for your claims and inquiries, check your plan booklet or contact your employer/plan sponsor.

employee benefits specialists
Important forms
Dental - Medical Claim Forms
Dental & medical claim forms
Pre-authorized deposit forms
Pre-authorized deposit forms
Pre-authorized payment forms (Ottawa only)
Pre-authorized payment forms (Ottawa only)
Personal financial programs for you and your family.
What's new
December 18, 2014
Effective January 1, 2015, the maximum pensionable earn...
December 16, 2014
Check out the newest Coughlin Courier. (PDF 282 KB)
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