Follow the steps to effectively complete your claim form.

1. Click ‘Get Form’ button to obtain the form and open it in the appropriate application.
2. Begin filling out section 1 by entering your personal information. This includes your first and last name, address, benefit ID, city, date of birth, province, home and work telephone numbers, preferred email, postal code, and employer name. Ensure all fields are filled in accurately.
3. Proceed to section 2, 'Claim Details.' Enter the date of each expense in the format (dd/mm/yyyy), specify the type of expense, indicate the number of receipts submitted, and provide the total amount of each expense, including taxes. Additionally, enter the approved amount for each expense if applicable.
4. Attach all relevant bills and receipts to your claim form. If claims have been submitted through another benefit plan, include a copy of the Explanation of Benefits from the carrier.
5. Review all filled sections for accuracy and completeness. Ensure no errors are present as incomplete forms cannot be processed.
6. In section 3, provide your signature and the date signed in the format (dd/mm/yyyy) to confirm that the information is complete and accurate.
7. Once all sections are completed and verified, save any changes made to the form, then download, print, or share the completed form as necessary for submission.

Submit your documents online to ensure your claim is processed smoothly.