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Transportation Assistance Claim |
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Use
Use the Transportation
Assistance Claim Form to claim for eligible
transportation expenses incurred by you or an eligible
dependent.
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Information Needed to Complete the Form
Your personal Member information is needed to complete the form.
In addition:
- the referring doctor must provide information relating
to the referral, and
- the doctor providing treatment must provide information
relating to the visit.
Both doctors must sign the form.
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Notes
Questions on completing the form should be directed to the Plan
Administrator.
Completed forms should be sent to the Plan
Administrator. |
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Plan Administrator
Ironworkers Local 97 Plan Administrator
c/o D.A. Townley & Associates Ltd.
101 – 4190 Lougheed Highway
Burnaby, BC V5C 6A8
Phone: 604-299-7482 or 1-800-663-1356
Fax: 604-299-8136
Email: Health
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