Proof of Student Status Consent Form Employee last name Employee first name Employee Number Division I name of student authorize the City of Toronto to disclose my student status to Manulife Financial. The purpose of this consent form is to extend the Health and/or Dental coverage to adult student of the above mentioned employee. One of the following is accepted proof of student status 1. copy of the school student identification card bearing the student name current school year and name of the post-secondary institution or 2. 416-392-8098 Metro Hall 55 John Street 13th floor Toronto ON M5V 3C6. PB0060 05/2007 th Mail completed form to Pension Payroll Employee Benefits Division Benefits Employee Services Section Metro Hall 13 floor with proof of student status. letter from the post-secondary institution confirming enrolment for current year Student signature Date The personal information on this form is collected under the authority of the City of Toronto Act 1997 and Schedule A of Cha....
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How to fill out the Canada Toronto PB0060 online
Filling out the Canada Toronto PB0060 form online ensures a smooth process for consenting to the disclosure of a student's status for health and dental coverage. This guide provides step-by-step instructions to help users complete the form accurately and efficiently.
Follow the steps to complete the Canada Toronto PB0060 online
- Click 'Get Form' button to obtain the form and open it in the editor.
- Begin by entering the employee's last name in the designated field.
- Next, provide the employee's first name in the corresponding section.
- Input the employee number to identify the individual associated with the consent.
- Select or specify the division where the employee works, ensuring clarity on internal departments.
- In the designated area, clearly write the full name of the student who is authorizing the consent.
- Ensure to include the purpose of the form, which is to authorize the City of Toronto to disclose the student’s status to Manulife Financial.
- Check the list provided to include one of the accepted proofs of student status, such as a copy of the school student identification card or a letter from the post-secondary institution.
- The student must sign the form in the section labeled 'Student signature'.
- Record the date of signing to finalize the form's validity.
- Upon completion, save the changes, and proceed to download, print, or share the form as required.
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