Get in touch

Our forms

You can fill out any form online or download the PDF version. Please complete and send forms directly to GPM including any related attachment, as indicated on the form.

Member: MY CLAIMS

Medical Claim Form
FR EN
Flexible Health Care Spending Account Claim Form
FR EN
Dental Claim and Treatment Predetermination Form
FR EN
Short Term Disability Claim, Employee Form
FR EN

Member: MY FILE

Employee Information Modification Form (B)
FR EN
Direct Deposit Authorization Form
FR EN
Beneficiary Modification Form
FR EN
Irrevocable Beneficiary Consent to Change Form
FR EN
Power of attorney
FR EN

Plan Administrator

Enrolment Form
FR EN
Short Term Disability Claim - Plan Administrator Form
FR EN
Multiple Employee Information Modification Form (A)
FR EN

Health Service Provider

Short Term Disability Claim – Attending Physician Form
FR EN

More about GPM and what we stand for

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