Follow the steps to successfully complete your claim form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the 'Information about you' section. Be sure to complete all fields, including your contract number, member ID, last name, first name, and contact details. Select your preferred language and indicate your gender.
3. If you or your spouse are covered under another plan, fill out that section accordingly. Provide the necessary details of your spouse if applicable, and check the relevant options regarding claims for expenses under both plans.
4. Complete the section regarding your Health Spending Account (if applicable). Indicate whether you want to use your HSA for this claim and select the appropriate option.
5. In the 'Information about your claim' section, list the names of all individuals for whom you are claiming expenses. Make sure to provide their dates of birth, relationships, and any other required information regarding their status as full-time students or dependents.
6. Continue filling out any additional information and ensure you attach original receipts for all claimed expenses. You must also mark if any expenses are related to out-of-Canada costs or work injuries.
7. Finally, complete the 'Authorization and Signature' section. Ensure you understand and agree to the certifications and authorize the required information disclosures. Sign and date the form.
8. Once all sections are complete, you can save your changes, download a copy of your filled form, print it, or share it as necessary.

Start submitting your claims online today for efficient processing!