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Home > AMM > Employee Benefits Forms
All Administrative forms can be sent back to Western Financial Group via email of fax to your Insurance Advisors. No originals required.
All Blue Cross claim forms can be sent directly to Manitoba Blue Cross.
Application for Employee Benefits
Waiver (Refusal) of Group Benefits
Application for Retiree Benefits
Waiver (Refusal) of Family Coverage
Declaration of Health
Application for Change
Overage Dependent
Beneficiary Designation
Overage Disabled Dependent
Dental Care Claim Form
Orthotics, Orthopedic Shoes, and Modifications Claim Form
Extended Health Care Claim Form
Out of Country Medical and Hospital Services Form
Vision Care Claim Form
Group Travel Health Claim Form
Manitoba Pharmacare Form