How To Submit a Claim

Two options for completing a Benefits Claim Form:

• Print the form and complete manually (click here)

  or

• Fill in the form on your computer (it will do the addition for you) and then print the completed form  (click here)
  
• IMPORTANT: Mail the completed Benefits Claim Form and original receipts to
  Shield Medical, along with your company cheque

  Shield Medical

  10924 - 81 Street NW
  Edmonton AB T5H 1L5
  Tel: (780) 488-6899
  Fax: (780) 488-2269