Employer and Employee Forms

ALL FORMS CAN BE FILLED IN ON-LINE, THEN PRINTED OUT FOR MAILING

USERS OF ADOBE READER VERSION 7 AND LATER CAN SAVE DATA TYPED INTO THESE FORMS. CLICK THE ICON BELOW TO DOWNLOAD THE LATEST VERSION OF ADOBE READER.

CLAIM FORM With Administration Charges and GST
CLICK HERE TO VIEW A SAMPLE
ONTARIO EMPLOYERS ONLY: CLICK HERE TO VIEW A SAMPLE

CLAIM FORM For a Prefunded Health Spending Account
(No Administration Charges or GST)
CLICK HERE TO VIEW A SAMPLE

IF YOU ARE UNSURE WHICH CLAIM FORM TO USE, PLEASE CALL US
Toll Free 1-866-234-5162 or in Calgary at 537-6298

Employer Forms

Add or Delete Employee(s)
Related Form: New employees must complete an "Employee Personal Information and Authorization" form
Change Employee Benefit Levels Company-Wide or for Individual Employees Change your Health Spending Account Levels for any or all classifications of employees, or change a classification for an individual employee
Related Form: Changes in marital or dependent status that affect an employee’s benefit level require inclusion of "Employee Change Personal Information" form

Employee Forms

Employee Personal Information and Authorization For new employees who are eligible to participate in the program
Change Employee Personal Information and Authorization For existing employees who wish to change their name, contact information, marital status, or dependent information
Related Form: Changes in marital or dependent status that affect your benefit level require inclusion of "Employer Change Employee Benefit Level and Classification" form

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