Claim Forms

Home

Home | CVMA Website | Group Insurance Solutions Website | Privacy | Français

TotalGUARD Employee Benefits | Individual Life & Disability | Commercial Insurance | Professional Liability | Home & Auto | Claims | News

TotalGUARD Employee Benefits
	Plan Information

	Key Features

	Administration Forms

	Claim Forms

	Contact Us

Group Insurance Solutions

1-800-665-8990
www.westernfgis.ca

Western Financial Group (Network) Inc.

Claim Forms

	General (for Drug and Extended Health Services)		Dental Pre-Treatment
	Emergency Medical Expense (for claims while travelling Out-of-Province/Out-of-Canada)		Services of an RN, RNA, RPN, PNA, LPN, Personal Support Worker
	Vision		Custom Foot Orthotics
	Dental		Authorization for Custom Braces
Please send completed forms to Green Shield Canada. You will need Adobe Acrobat to view and print these files. If you do not have Adobe Acrobat, you can download it free by clicking here.