Forms

Download and print these PDF forms for administering your Group Benefit Plan.

Should you have questions about which form to use, or need assistance filling out a form please contact RWAM .

Administration Forms

 Enrolment Form (RA002)
 Demande d'adhésion (RA002F & RA014F)
 Report of Employee Transactions (RA028)
 Notification of Absence (RDM053)
 Notification of Absence - Waiver of Premium (RDM048)
 Employer's Pre-Authorized Debit (PAD) Agreement (RA098)

Cost Plus Reimbursement / Additional Reimbursement Benefit Claim Forms (ARB)

Only those individuals authorized to sign on behalf of the Group Policyholder (e.g. the Employer’s Plan Administrators) may complete and sign these ARB forms. Standard forms for Plan Members (including Claim Forms, Beneficiary Forms, and Personal Information Change Forms) are available on the Plan Members Forms page.

 Alberta (RC005_b)
 British Columbia (RC005_b)
 Manitoba (RC005_g)
 New Brunswick (RC005_c)
 Newfoundland and Labrador (RC005_f)
 Northwest Territories (RC005_d)
 Nova Scotia (RC005_c)
 Nunavut (RC005_d)
 Ontario (RC005_a)
 Prince Edward Island (RC005_c)
 Quebec (RC005_h)
 Saskatchewan (RC005_b)
 Yukon (RC005_d)

 Plan Member Forms

Forms for Plan Members (including Claim forms, Beneficiary forms, and Personal Information change forms) are available on the Plan Members Forms page.