Completion of these forms by you or your employee may be necessary to proceed with your claims. Should you have any questions about the process or which forms apply to your situation, please feel free to contact us.
Claims Management Forms
Completion of an employee injury report is necessary for occupational injury claims.
|Accident Investigation Report||PDF|
|Functional Abilities Form||PDF|
|Employee Injury Report||PDF|
Early Intervention Forms
|Early Intervention Contact (for GroupHEALTH members)||PDF|
|Early Intervention Contact (for GroupHEALTH members)||Online Form|
|Upload Information Form (for GroupHEALTH members)||Online Form|
|Intervention immédiate – Coordonnées (absent pendant 5 jours consécutifs)||PDF|
Advice to Pay Claim Forms
|Sick Leave Claim Form||PDF|
|Early Intervention Program Form||PDF|