CANADIAN UNION OF BREWERY AND GENERAL WORKERS LOCAL 325

PDF versions of Medical, Dental, Functions Ability Form (FAF)and WI Claim forms are now available to download and print.

 

Click on the link below to download and print. The files are in Acrobat PDF format.

Also there are Dental & Health writeable PDF versions  available.

Please remember to keep a copy of anything that you send to the insurance company. Any problems or rejected claims, please see the union office!

Dental Claim Form

Writeable Dental Claim Form

Extended Health Care Claim Form

Writeable Extended Health Claim Form

Weekly Indemnity Claim Form

Functions Ability Form (FAF)