Forms

Group RSP Form-French (133KB)

French Extended Health Form (209KB)

Group RSP Form (138KB)

TFW health claim form (111KB)

Prescription Drug Form (197KB)

Group Insurance Enrolment Form (46KB)

Dental Form (180KB)

Extended Health Care Form (197KB)

French Dental Form (202KB)

Eye Glass Form (197KB)

Disability Claim & Change of Address Forms

To request disability claim forms or change your address, contact the western CLAC Benefit Administration office:

CLAC Benefit Administration
14920 118 Ave.
Edmonton, AB  T5V 1B8
Telephone: 780–454–6181
Toll Free: 888–600–2522
Facsimile: 780–454–6180

Email: westernbenefits@clac.ca