Claim Forms

Paramedical Medical Claim Form

pdf

Practitioner Claim Form

pdf

Vision Care Claim Form

pdf

Accidental Dental Claim Form

pdf

Physician Statement

pdf

Income Replacement Claimant Statement

pdf

Before submitting a claim, check:

  • Have you fully completed and signed the appropriate claim form (i.e. medical, paramedical)?
  • Is your Equity membership in good standing?
  • Have you attached an official receipt confirming the type of treatment, date of treatment, and service provider’s name/qualification? Does it include the service provider’s signature?
  • If you are submitting a massage therapy receipt, did you receive the treatment from a Registered Massage Therapist?
  • Have you kept copies of all your receipts? Crawford will not return any hard copy receipts to you.

Have questions or need more information?

Contact Us

National Office

44 Victoria St, 12th Floor

Toronto, ON M5C 3C4

Phone

416-867-9165 (local)

1-800-387-1856