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  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.


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.