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Creative Employee Benefit Solutions

hard copies

Request hard Copies

Please complete and submit the following form to request hard copies of The Benefits Trust claim and administrative forms.

Contact Information

First Name
Last Name
E-mail *
Phone
Contract/Policy #
Company Name

Available Documents

Enrollment Form Standard : BT09-EF-A
Change of Record : BT09-CR-A
Termination/Rehire : BT09-TR-A
Declaration Appointing Trustee : BT09-DAT-A
Overage Dependent Enrollment : BT09-OAD-A
Medical & Drug Claim Standard : BT09-MM-A
Dental Claim Standard : BT09-DE-A
Accident & Sickness Claim : BT09-AS-A
Pre-authorized Payment(Client) : BT09-PAP-A

The Benefits Trust

3800 Steeles Ave. West,
Suite #102W
Vaughan, Ontario
L4L 4G9

Tel: 905-264-8990
or 416-498-7723
TF: 1-800-487-2993
Fax: 905-264-1123

All content Copyright © 2008 The Benefits Trust