Benefit & Medical Forms

  • 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

BEREAVEMENT FORM

APPLICATION FOR CREDITED HOURS (Granted Time)

COVID-19 QUARANTINE BENEFIT

COVID-19 – CREDITED TIME (fillable)

EXTENDED HEALTH CLAIM FORM (fillable)

OCCUPATIONAL FITNESS ASSESSMENT (OFA)

PERSONAL LEAVE  (Contact ILWU Local 500 for assistance and to appeal)

MATERNITY / PARENTAL LEAVE & SUPPLEMENT

LEAVE FOR ABORIGINAL PRACTICES

M&G PHYSICIAN’S FORM