Active Members | Forms

Member Enrollment/Application Card

Coverage Details

Description

New Member Enrollment / Application card or to add / change existing dependents and beneficiaries.

Applicable for

Member Only

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.

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Submit by mail:

LiUNAcare Local 506
3750 Chesswood Drive, Suite 1
Toronto, ON M3J 2W6

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Member Enrollment/Application Card

Coverage Details

Submit your form online:

Submit by mail:

Get Mobile Access to Your Benefits

Check Out Our Mobile Apps

Contact Information

Office Hours

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Member Enrollment/Application Card

Coverage Details

Submit your form online:

Submit by mail:

Get Mobile Access to Your Benefits

Check Out Our Mobile Apps

Welcome to LiUNAcare Local 506