Retired Members |
Forms
Emergency Out of Province Medical Coverage
Coverage Details
Description
Information about your Emergency Out of Province Coverage
Applicable for
Member / Spouse / Dependents
Submit your form online:
Step 1
Download, print and fill out the form.
Download Form Step 2
Upload the form using our online submission form.
Upload NowSubmit by mail:
LiUNAcare Local 183
200 Labourers Way
Vaughan, ON, L4H 5H9
Suite 2100