Save time by accessing our most frequently used forms.
Select the form you need and complete all necessary fields on-screen. Once complete, simply print the filled form and send it to the appropriate claims and administration office.
To order hard copies of any of these forms, please complete and return the Order form PC GB1306 PDF (138Kb).
| G1053 PDF (245Kb) | Evidence of insurability |
| G1223 PDF (113Kb) | Request for conversion of group life insurance |
| G1285 PDF (128Kb) | Notice of change |
| G2229 PDF (82Kb) | Confirmation of school attendance |
| GE8000 PDF (182Kb) | Application form |
| GE8001 PDF (190Kb) | Request for change (I) |
| GE8002 PDF (104Kb) | Optional benefits |
| GE8003 PDF (55Kb) | Request for change (II) |
| GE8033 PDF (42Kb) | Address confirmation |
| GE9874 PDF (51Kb) | Beneficiary designation |
| PC GE10158 PDF (43Kb) | Participant authorization |
| PC GE10352 PDF (66Kb) | Application for total and permanent disability status for a dependent child |
| PC GE8289 PDF (58Kb) | Direct deposit |
| PC GE8004 PDF (57Kb) | Refusal to join |
| PC GB1306 PDF (138Kb) | Order form |
| Health care | |
| GE10468 PDF (224Kb) | Medical and paramedical claim form |
| GE9205 PDF (79Kb) | Drug card claim reimbursement form (Assure health) |
| PC GE9183 PDF (131Kb) | Approval form – exception drugs |
| Dental care | |
| GE8228 PDF (196Kb) | Dental claim form |
| G2019 PDF (150Kb) | Dental claim – accidental injury |
| Disability | |
| GE10342 PDF (614Kb) | Disability claim form |
| G2277 PDF (99Kb) | Attending physician's supplementary statement |
| Life | |
| G2007 PDF (151Kb) | Death claim |
| GB959 PDF (132Kb) | Living Benefit claim |