Claim Forms

Before You Claim - Please Consider...
We deduct $4 from the grand total of your claim each time you file a claim.
You will save money if you accumulate your receipts and claim less often. (Claiming weekly will cost you $208 vs $4 if you claim annually)

You can scan and email completed claim forms and reciepts to:

claims@coastmountainbenefits.ca

PDF Options

Click on the PDF link below or to save to your computer hard drive, right click on link and select "Save Target As".

• Manual PDF    Print this file and fill it in manually

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