Loading
Get Green Shield Personal Spending Account
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Green Shield Personal Spending Account online
The Green Shield Personal Spending Account claim form allows users to seek reimbursement for eligible expenses. This guide will provide a clear, step-by-step approach to help you complete the form effectively.
Follow the steps to successfully submit your claim.
- Click ‘Get Form’ button to obtain the claim form and open it for editing.
- Complete Section 1 – Patient Information by entering your Green Shield ID number, surname, first name, date of birth (YY/MM/DD), address, telephone number, city, province, and postal code.
- Navigate to Section 2 – Claim Details. Here, provide a description of the expense, the year (YR) the expense was incurred, the date of the expense (month and day), the name of the person for whom the expense is being claimed, their relationship to you, and the charges incurred.
- Move to Section 3 – Authorization. Read the statement carefully, and then sign and date the form to authorize Green Shield to process your claim against your personal account.
- In Section 4 – Mailing Instructions, gather all original correspondence and receipts related to your claim. Retain copies for your personal records, as original receipts will not be returned. Prepare an envelope addressed to Green Shield Canada, P.O. Box 1699, Windsor, ON N9A 7G6, and include 'Attention: Personal Spending Account' on the envelope.
- Finally, review your completed form for accuracy and ensure that all required fields are filled in. You can then save changes, download, print, or share the form as necessary.
Complete your forms online today for a smooth claims process.
Related links form
GSC was founded in 1957 with a mission to help Canadians get access to the health care they needed. Today, we continue this mission as a social enterprise, committed to making it easier for people to live their healthiest lives. Get to know us. Making a difference in the places we live and work.