Claims forms - Ottawa

Click to download the appropriate form in .pdf format.

Print, complete and sign the form. Return it, and all receipts, to Coughlin & Associates Ltd. at:

Coughlin & Associates Ltd.
P.O. Box 3517, Station C
Ottawa, ON K1Y 4H5

 

employee benefits specialists
Important forms
Dental - Medical Claim Forms
Dental & medical claim forms
Pre-authorized deposit forms
Pre-authorized deposit forms
Pre-authorized payment forms (Ottawa only)
Pre-authorized payment forms (Ottawa only)
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March 31, 2020
UPDATE: COVID-19 Coughlin & Associates Ltd. is act...