MEDIUM TO LARGE
SIZE PRACTICES

Forms

Please print and complete the appropriate form and mail it to the address provided.

Please mail the following forms to:
The Canadian Bar Insurance Association
5 Park Home Avenue
Suite 500
Toronto, Ontario
M2N 6L4

Pre-Authorized Payment Plan

Application for enrolment

Policyholder’s Request for Change

Request for Designation or Change of Beneficiary(ies) or Trustee

Evidence_insurability

Member’s change request

 

Please mail the following forms to:
Desjardins Insurance
C.P. 3950
Lévis, Quebec
G6V 8C6

Claim for Dental Care Expenses

Claim for Health Care Benefits

 

Please mail the following forms to:
Desjardins Insurance
200, rue des Commandeurs
Lévis, Quebec
G6V 6R2

Request for Conversion

Request for Cost Plus Reimbursement