Medical Plan Forms

  Form to be completed if you   are claming for hospital,   medical, dental care and   vision care benefits.
  Form for reimbursement of   prescribed medication and   injections.

  Form for claiming short term   wage loss benefits or if you   wish to have your disability   period counted as a sailing   period.

  Standard dental claim form.
  Email
  medical@seafarers.ca

  Click on the side menu or the image for the application form that you require and a pdf format will open. You can print a copy or save a copy to your hard drive.

Form to be completed if you are claming for hospital, medical, dental care and vision care benefits.
Reimbursement of prescribed medication and injections.
Form for claiming short term wage loss benefits
or if you wish to have your disability period
counted as a sailing period.

Standard dental claim form.