Claim FormsUse these forms to submit your health and dental claims to the insurance company. Photocopies of blank claim forms may also be used. Please allow one to two weeks for your claim to be processed.
Where to Send Claims Incurred on or After Sept. 1, 2013Where to Send Health and Dental Claims:Desjardins Financial Security (at the address indicated on the form) Health & Vision Claim Form Dental Claim FormWhere to Send Travel Health Claims: For information on making travel health claims, please refer to the Travel Health Passport page.Where to Send Tuition Insurance Claims:Please make sure to fill out both the Student’s Statement and the Physician’s Statement Claim Forms below. Refer to the Student’s Statement Claim Form for the appropriate mailing address for your province of residence. Tuition Insurance - Student Statement Tuition Insurance - Physician's Statement
For greater convenience, these forms can now be filled in electronically from within Adobe Reader. Please remember to sign claim forms before submitting them to the Insurance Company.
All our documents require the use of Adobe Acrobat Reader, which you can download here for free:Mac UsersPlease note that the claim forms contain advanced features that do not work well with Mac Preview. You will also need to download and install Acrobat Reader in order to view and print the documents correctly.
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