Forms
Desjardins
Claim Forms
Empire
Claim Forms
Equitable
Claim Forms
Great West Life
Claim Forms
Short-term disability
Long-term disability
Greenshield
Claim Forms
Manulife
Claim Forms
RBC
Claim Forms
RWAM
Claim Forms
- Extended Health Care Claim RC001 (44 KB)
- Dental Claim RC004 (34 KB)
- Cost Plus / ARB Claim RC005 (87 KB)
- Attending Physician's Statement RC027 (30 KB)
- Physician's Statement - Erectile Dysfunction Drugs RC021 (27 KB)
For Claims to be processed through a Health Care Spending Account Only.
For Claims to be adjusted through an Extended Health Care Plan first with unpaid portions processed through a Health Care Spending Account Top-Up Plan.
Administration
- Enrollment Form RA002 (146 KB)
- Electronic Deposit of Group Benefit Payments RA014 (65 KB)
- Report of Employee Transactions RA028 (273 KB)
- Student Eligibility RA042 (77 KB)
- Student Studying Abroad RA100 (30 KB)
- Change in Status/Beneficiary/Name RA077 (35 KB)
- Beneficiary Designation/Change RA086 (68 KB)
- Supply Request RA088 (56 KB)
RWAM offers products through a variety of carriers. Please refer to the provider page of your Employee Benefits Booklet, contact your Plan Administrator, or call RWAM to determine which carrier's Health Evidence form to use.
- Health Evidence - Co-operators (159 KB)
- Health Evidence - RBC (50 KB)
- Health Evidence - La Capitale (79 KB)
Request Forms
Standard Life
Claim Forms