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Printable Version

Public Service Dental Care Plan Form


This form is being offered to as an on-line service and is available in Portable Document Format (PDF) only.

Once you have accessed the form, you must print the form and fill in the fields by hand for submission by mail. More detailed instructions will also be offered.  If you require a reader to view the form, please go to the Adobe Acrobat Reader download page at http://www.adobe.com/products/acrobat/alternate.html.

Requesting Forms

To request printed forms, please contact:

Distribution Centre
Treasury Board of Canada Secretariat
E-mail: services-publications@tbs-sct.gc.ca
Telephone: (613) 995-2855
TTY: (613) 957-9090
Fax: (613) 996-0518
Address: Room P-135, West Tower
300 Laurier Avenue West
Ottawa, Ontario K1A 0G5

Technical Assistance

If you have problems accessing this form, please contact:

Corporate Communications
Treasury Board of Canada Secretariat
E-mail: tbs-sct@tbs-sct.gc.ca
Telephone: (613) 957-2400
TTY: (613) 957-9090
Fax: (613) 998-9071
Address: 10th Floor, West Tower
300 Laurier Avenue West
Ottawa, Ontario K1A 0G5