Claims +

Downloadable Claims Forms

Please note: Some of these claim forms are formatted for 8 ½ x 14 (legal) size paper. Printing on smaller paper sizes may result in formatting errors, however the forms are still valid for use as a claim form.

For Hospital/Medical Claims


Alberta Residents
Emergency Hospital & Medical Insurance for Canadians

British Columbia Residents
Emergency Hospital & Medical Insurance for Canadians
Health Insurance BC Out-of-Country Claim form (for inpatient hospitalizations only)
Health Insurance BC Schedule A & B (for inpatient hospitalizations OR outpatient treatment)

Manitoba Residents
Emergency Hospital & Medical Insurance for Canadians

New Brunswick Residents
Emergency Hospital & Medical Insurance for Canadians

Newfoundland Residents
Emergency Hospital & Medical Insurance for Canadians
Newfoundland Application for Insurance Benefits Form

Northwest Territories/Yukon/Nunavut Residents
Emergency Hospital & Medical Insurance for Canadians

Nova Scotia Residents
Emergency Hospital & Medical Insurance for Canadians

Ontario Residents
Emergency Hospital & Medical Insurance for Canadians
OHIP Authorization and Release Form

Prince Edward Island Residents
Emergency Hospital & Medical Insurance for Canadians

Quebec Residents
Emergency Hospital & Medical Insurance for Canadians
Application for Reimbursement and Power of Attorney

Saskatchewan Residents
Emergency Hospital & Medical Insurance for Canadians
Health Insurance of Saskatchewan Schedule A & B

Global Expatriates
Global Expatriate Hospital & Medical Insurance Claim Form

For Visitors to Canada Claims

Visitors to Canada Emergency Hospital and Medical Insurance Claim Form OR
International Student Hospital & Medical Insurance Claim Form (complete only if you are attending a Canadian school/university/college)

For Trip Cancellation/Interruption Claims

Trip Cancellation & Interruption Insurance Claim Form

For Baggage Claims

Baggage Claim Form

For Flight Accident and AD&D Claims

Flight Accident and Accidental Death & Dismemberment Insurance

Medical Certificates

Emergency Hospital & Medical for Canadians Medical Certificate
Global Expatriate Hospital & Medical Medical Certificate

Release of Information Forms

Agent Release Form - English
Agent Release Form - French
Agent Release Form - Chinese

Third Party Release Form - English
Third Party Release Form - French
Third Party Release Form - Chinese

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