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Health Care
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Miscellaneous
Forms
Access to Information
Access to Information Request Form
(TBC/CTC 350-57)
Personal Information Request Form
(TBC/CTC 350-58)
Personal Information Bank Registration Form
(TBS/SCT 350-84)
Report on the Access to Information Act
(TBS/SCT 350-62)
Report on the Privacy Act
(TBS/SCT 350-63)
Disability Insurance
Claim for Disability Insurance - Employee's Statement Policy No. 12500-G
(TBS/SCT 330-302)
Claim for Disability Insurance - Employer's Statement Policy No. 12500-G
(TBS/SCT 330-303)
Claim for Disability Insurance - Employee's Medical Information and Attending Physician's Statement Policy No. 12500-G
(TBS/SCT 330-304)
Leave
Application for Self-Funded Leave
(TBS/SCT 330-109)
Application for Leave with Income Averaging
(TBS/SCT 325-10)
Application for Pre-retirement Transition Leave
(TBS/SCT 325-9)
Dental Care
Pensioners' Dental Services Plan Enrolment Form
(TBS/SCT 330-299a)
Pensioners' Dental Services Plan Enrolment Form for Veterans
(TBS/SCT 330-315)
Pensioner's Dental Services Plan (PDSP) Form for newly eligible family member(s)
(TBS/SCT 330-312)
Pensioners' Dental Services Plan (PDSP) - PDSP Coverage Activation Form
(TBS/SCT 330-313)
Pensioners' Dental Services Plan Claim Form
Claim Form for Public Service Dental Care Plan
(Inventory Number TBS 006267)
Dental Care Plan Authorization to Redirect Payment
(M5103 BIL-2/01)
Public Service Dental Care Plan - Authorization for Claims Submission and Re-Direction of Payment
(M6591-3/05)
Health Care
Standard Claim Form
(Inventory Number TBS 006482)
Comprehensive Coverage Claim Form
(Inventory Number TBS 006483)
Public Service Management Insurance Plan
PSMIP Long-Term Disability Benefit
(TBS/SCT 5945, 5946)
PSMIP Accidental Dismemberment Benefit
(TBS/SCT 5954, 5955)
PSMIP Claim For for Death Benefit
(TBS/SCT 5948, 5949)
Security
Security in Contracting
Security Requirements Check List (SRCL)
(TBS/SCT 350-103) (Rev 2004/12)
Security Screening
Personnel Screening, Consent and Authorization Form
(TBS/SCT 330-23e)
Security Clearance Form
(TBS/SCT 330-60e)
Security Screening Certificate and Briefing Form
(TBS/SCT 330-47)
Security of Infomation Act (SOIA)
Record of a Person in a Schedule Department or Agency under the Security of Information Act (SOIA)
(TBS/SCT 330-316)
Recommendation to Designate "Persons Permanently Bound to Secrecy" under the Security of Information Act (SOIA)
(TBS/SCT 330-317A)
Notice of Designation "Persons Permanently Bound to Secrecy" under Section 10 of the Security of Information Act (SOIA)
(TBS/SCT 330-317B)
Notice of Designation - "Persons Permanently Bound to Secrecy"
(TBS/SCT 330-317C)
Affidavit of Service - Security of Information Act
(TBS/SCT 330-318E)
Submission
Treasury Board Submission
(Form number TBC 300-1)
Notification of Delegation of Signing Authority for Submissions to Treasury Board
(Form number TBC 300-8)
Specimen Signature
(Form number GC 136)
Miscellaneous
Youth Internship Application Form
(TBS/SCT 330-300e)
Bank of Montreal MasterCard Acquisition Card, Employee Account Request Form
(TBS/SCT 350-126)
CIBC Government of Canada Purchasing Card, Cardholder Application Form
(TBS/SCT 350-125)
Confidential Report Form
(TBS/SCT 330-40e)
Employee Declaration Document
(TBS/SCT 325-8)
Application for the Refund of Union Dues
(TBS/SCT 340-50)
Telework Agreement
Objection on Grounds of Conscience to Dues Check-off
(TBS/SCT 340-52)