CLAIM SUBMISSION FORM

You can use the claim form or you can clearly identify yourself and the company you work for, then scan and e-mail your claim receipts to us without the claim form – fast and easy, no claim form!

If you are having trouble or need some help understanding how to file your claim with us, please visit HOW TO SUBMIT YOUR CLAIM



Digital Receipt Details
Receipts submitted need to abide by CRA (Canada Revenue Agency) regulations CRA requires receipts to contain the following information, clearly visible for audit.


Date the service or drug was paid
Who Service Was Provided For
Identification of the service and / or drug
Cost of the service or drug





Total:


take a photo or attach a digital copy, you can attach multiple images or a single image of all receipts

*If you have additional claims to process please submit and use another claim form.