Get Global Benefits Local 254

The Global Benefits Local 254 form is crucial for accessing health and welfare benefits. This guide will provide step-by-step instructions on how to complete the online version of the medical claim form accurately and efficiently.

Follow the steps to complete your online form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. In the Employee's Statement section, provide your date of birth and Social Insurance Number. Ensure that your information is accurate to avoid processing delays.
3. Fill in your personal details including your name, address (number, street, city, province), occupation, single or married status, and home phone number.
4. If the claim is for a dependent, complete the dependent section, providing their name, relationship to you, date of birth, and status (single or married).
5. Answer whether you or your dependent have any other coverage that may assist with this claim. If yes, provide the name of the employer and the insurance company.
6. For Vision Care Expenses, attach all relevant receipts and itemize the expenses such as frames, lenses, or contacts.
7. Provide authorization for Global Benefits to collect and exchange personal information necessary for processing the claim. This may include agreements with healthcare providers and insurance agencies.
8. Certify that the information provided is true and complete by signing and dating the form in the designated areas.
9. Once complete, you can save your changes, download, print, or share the form as needed.

Complete your Global Benefits Local 254 form online to ensure timely processing of your health claims.