TotalGUARD Forms
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Administration Forms

	Addition of Firm Benefits		Overage Dependant
	Application for Change		Overage Disabled Dependent
	Applications for Optional Life		Extended Health Pre-Authorization
	Application for Group Insurance A		Pre-Authorization Chequing Plan
	Application for Group Insurance B		Prescription Drug Exceptions
	Authorization for Private Nursing		Refusal of EHC and Dental Care Coverage
	Beneficiary Designation		Special Drug Authorization Request
	Declaration of Health Condition		Waiver of Excess Basic Life and AD&D
	Employee Enrollment		Waiver of Excess Long Term Disability Coverage
	Evidence of Insurability		Waiver of Excess Short Term Disability Coverage
	Extended Health Pre-Authorization

Claim Forms

	English		French
	Authorization Form for Custom Braces		Authorization Form for Custom Braces
	Claim Form for Custom Foot Orthotics		Claim Form for Custom Foot Orthotics
	Claim Form for the Services of an RN, RNA, RPN, PNA, LPN, Personal Support Worker		Claim Form for the Services of an RN, RNA, RPN, PNA, LPN, Personal Support Worker
	Drug Claim Submission Form		Drug Claim Submission Form
	EHS Claim Submission Form		EHS Claim Submission Form
	General Claim Submission Form		General Claim Submission Form
	Dental Claim Form		Dental Claim Form
	Vision Care Claim Form		Vision Care Claim Form
	Dental Pre-Treatment Form		Dental Pre-Treatment Form