
CLAIM FORM FOR SCHOLARSHIP PROGRAM FOR DEPENDENT CHILDREN SECTION 1 EMPLOYEE INFORMATION GREEN SHIELD ID NUMBERCOMPANY NAMED ATE OF BIRTH (BY/MM/DD)FIRST NAMESURNAME ADDRESSTELEPHONE NUMBER PROVINCECITYPOSTAL.
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How to fill out the Canada GSC Claim Form For Scholarship Program For Dependent Children online
This guide provides a comprehensive overview of the Canada GSC Claim Form for the Scholarship Program for Dependent Children. By following these clear, step-by-step instructions, users can accurately complete the form online, ensuring they meet all necessary requirements seamlessly.
Follow the steps to fill out the Canada GSC Claim Form online:
- Click ‘Get Form’ button to acquire the Canada GSC Claim Form and open it in your chosen online editor.
- In Section 1, enter your employee information. Include your Green Shield ID number, company name, date of birth, first name, surname, full address, telephone number, province, city, and postal code.
- Proceed to Section 2, where you will fill out student information. Provide the student’s name, address, Green Shield ID number, province, city, date of birth, and postal code. Ensure to include the dependent’s SIN number.
- In Section 3, complete the mandatory declaration by indicating whether you have other group insurance coverage. If 'Yes,' provide the insurance company's name and attach a copy of the statement from the primary carrier. Include the name and address of the college or university, and select the applicable boxes for the degree program. Note whether the student received any scholarships or bursaries and, if applicable, provide the amount.
- Section 4 requires detailed course program information including the name of the degree or diploma program, program number, term dates (start and end), total course load for the term, and tuition costs in US or CDN. Clarify that this does not include extra educational expenses.
- Review the statement of conditions in this section to ensure eligibility based on student status and program commencement dates. Ensure all required supporting documentation is prepared for submission.
- In Section 5, provide your certification by signing and dating the form, confirming that you are responsible for the tuition expenses and that the information provided is accurate.
- Finally, in Section 6, review the mailing instructions. Ensure all original correspondence is attached, and note that claims must be submitted within 12 months of the date of service. Prepare your envelope for mailing to the specified address for Green Shield Canada.
Complete your Canada GSC Claim Form for the Scholarship Program online today!
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