Benefit & Medical Forms

All these forms and more are available on the WEBC (Benefit Office) website www.longshoreplans.ca , including the Benefit booklets & Pension information
* Once logged in go to Benefits – all forms are available there

  • Dental is administered by Employee Services (not Great West Life) 604-689-7184.
  • For benefits forms and information you should contact Employee Services at 604-689-7184, 4th floor, 349 Railway Street, Vancouver.

WEEKLY INDEMNITY APPLICATION

WEEKLY INDEMNITY OVER 65 YRS APPLICATION PACKAGE

WI SUPPLEMENTARY PHYSICIAN PROGRESS REPORT

BEREAVEMENT FORM

EXTENDED HEALTH CLAIM FORM (fillable)

OCCUPATIONAL FITNESS ASSESSMENT(OFA)

PERSONAL LEAVE (April 30, 2024 version)

MATERNITY / PARENTAL LEAVE & SUPPLEMENT

LEAVE FOR ABORIGINAL PRACTICES

M&G PHYSICIAN’S FORM