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.

Form Name Format
Employee Injury Report PDF

Early Intervention Forms

English:
Form Name Format
Early Intervention Contact (for GroupHEALTH members) PDF
Early Intervention Contact (for GroupHEALTH members) Online Form
Upload Information Form (for GroupHEALTH members) Online Form
French:
Form Name Format
Intervention immédiate – Coordonnées (absent pendant 5 jours consécutifs) PDF

Advice to Pay Claim Forms

Form Name Format
Sick Leave Claim Form PDF

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Since 2002, the Disability Management Institute (DMI) has been providing comprehensive claim management and review services to over 1,650 clients nationwide. Request a Consultation

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