
FORM 07 Extended Health Care Claim AFBS: 1000 Yonge Street Toronto, ON M4W 2K2 PHONE: 416.967.6600 1.800.387.8897 FAX: 416.967.4744 1.888.804.8929 EMAIL: info afbs.ca WEB: afbs.ca Please complete all information requested below, sign and return to Actra Fraternal Benefit Society (AFBS). AFBS WEST: 300 - 380 2nd Avenue West Vancouver, BC V5Y 1C8 PHONE: 604.801.6550 1.866.801.6550 FAX: 604.801.6580 EMAIL: afbswest afbs.ca WEB: afbs.ca INSTRUCTIONS How to File Your Claim Reset Form Reset.
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How to fill out the Canada AFBS Form 07 online
Filling out the Canada AFBS Form 07 online for Extended Health Care claims can simplify your submission process. This guide provides clear and comprehensive steps to help you complete each section of the form with ease.
Follow the steps to successfully complete the Canada AFBS Form 07.
- Click ‘Get Form’ button to access and open the online version of the Canada AFBS Form 07.
- In Section 1, enter your member information. Input your name (last, first, middle initial), date of birth, AFBS account number, and ACTRA/WGC number if applicable. Tick the program you participate in.
- Proceed to Section 2 to fill in the claim details. Use the insured codes to denote whether the claim is for you, your spouse, or your dependants. For each expense, provide the insured code, full name of the insured, date of birth, type of expense, date of service, and the amount of receipt. Use the ditto mark for repeated information where applicable.
- Attach official, original receipts for each expense claimed. Note that for Coordination of Benefits, copies of receipts are acceptable.
- In Section 3, indicate if you or your dependants have coverage under any other insurance plan. If yes, provide the requested information about the other plan and the insured individuals.
- Finally, complete Section 4 by signing and dating the authorization. Ensure that all statements are accurate and that you agree to the terms regarding the use of information.
- Once completed, save your changes, and proceed to download, print, or share your form as needed.
Complete your Canada AFBS Form 07 online today to ensure your health care claims are processed efficiently.
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