Employee Benefit Funds Administration Ltd

Employee Benefit Funds Administration Ltd.


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Page updated: April 20, 2010

 

Health and Welfare Claim Forms

  Note: Please make sure that you are eligible for Health and Welfare benefits before incurring any medical expenses or submitting claims to the Fund Office.

 
  Claim Forms Adobe Acrobat(.pdf) Microsoft Word(.doc)
 Dental - Direct Reimbursement Form Click Here Click Here
 Disability Notice Click Here Click Here
 Supplementary Health Expense Form Click Here Click Here
 Supplementary Health Expense Form - Supplies Click Here Click Here
 Supplementary Health Expense Form - Orthotics  Click Here Click Here
 Prescription Drug - Direct Reimbursement Form Click Here Click Here
 Private Duty Nursing Form Click Here Click Here
 Vision - Direct Reimbursement Form Click Here Click Here
 Dependent Update Form Click Here Click Here




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