Retired Members  |  Forms

Dependent with a Disability Coverage

Coverage Details

Description

Benefit coverage application for over-aged dependents that are unable to support themselves.

Applicable for

Dependent Children

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 Now

Submit by mail:

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

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