Other claims forms

Pre-authorized deposit form

With pre-authorized deposit, your health and/or dental claim will be paid and deposited into your bank or financial institution account within two to five working days of approval.

To have your claims deposited directly into your account, click the appropriate link and follow the instructions. 

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
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