Quick Contact
Ottawa office
466 Tremblay Road
Ottawa, ON K1G 3R1

Tel: 613-231-2266
Fax: 613-231-2345
Toll Free: 1-888-613-1234
Winnipeg office
175 Hargrave Street, Suite 100
Winnipeg, MB R3C 3R8

Tel: (204) 942-4438
Fax: (204) 943-5998
Toll Free: 1-888-204-1234

Claims forms - Winnipeg

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 764
Winnipeg, MB R3C 2L4

 

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)
Personal financial programs for you and your family.
What's new
April 10, 2017
Thinking about a career at Coughlin & Associates Lt...
March 17, 2017
Watch our video about how Coughlin can help service you...
February 24, 2016
Check out the newest Coughlin Courier. (PDF 296 KB)
October 21, 2015
The 2015 Federal Budget introduced a reduction to the m...