D.A. TOWNLEY  -  Plan Administrators  

health benefits




You can fill in all these forms directly on the web by typing in the appropriate spaces. Then just print the form, sign where necessary, and send to the Plan Administrator.

You need Adobe Reader for these forms to work. If you do not have Adobe Reader you can download it by clicking on the link below.

Download: Adobe Reader


Extended Health Benefits Claim Form (223 KB)

Weekly Income Benefits Claim Form (104 KB)






Form Links

Related Links
Government of BC site for PharamCare

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