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Benefits Forms

Benefit Claims

Dental Claim Form

Healthcare Expenses Statement

Out of Country Authorization and Release Form

Out of Country Claim Form

Request – Brand Name Drug

Benefit Application and Change

The Benefit Application and Change Forms below should be returned to the Benefits Specialist when complete.

Beneficiary Nomination Form

Evidence of Insurability

Group Coverage Change Form

Optional Life Beneficiary Form

Optional Life Insurance – Trustee Appointment Form

Career Development

Career Development Application Form (Online)

Early Application Form (Online)

Medical Absence

– Submit medical certificates, functional abilities forms etc. to Human Resources

RAMQ

RAMQ Opting Out

Tuition Benefits

Contract Instructor Tuition Waiver

Dependent of Contract Instructor Tuition Waiver Form

Wellness Resources

Medication Side Effects

Saving for your future

Wellness Resources