Forms and Documents

An application form is required when you join or leave the Plan. Application forms are available on our website under the Forms & Documents section.

PSHCP Relief Provision

(You will be taken to the Public Works and Government Services Canada website)

PSHCP Application Forms

To apply to the PSHCP or to amend your coverage:

• Employee Application Form (TBS-006491)
• Pensioner Application Form (TBS-006492)

PSHCP Claim Forms

• PSHCP Claim Form
• PSHCP Claim Form for Out-of-Country claims (Comprehensive Coverage)
• PSHCP Travel Emergency Expense Form (The Plan Administrator will send this form to members following a medical emergency outside of Canada)

Positive Enrolment Form

• Positive Enrolment Form
• Positive Enrolment instructions

Official PSHCP Documents

• Plan Directive (Plan Document)
• Member Booklet at-a-glance