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!

Please use the following form to submit your claim. If you are having troubles using the claim form, please refer to our HOW TO SUBMIT YOUR CLAIM page to learn about the many other ways you can 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


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