Health Claim Form

To submit a manual claim, complete an insurance Health Claim Form, attach the original receipts and documents, and mail to the insurer. Remember to keep a copy of all original documents for your records.

The following information is required on the claim form:

Green Shield Canada ID Number: Your GSC ID number begins with your school's three-letter code, followed by your student ID number, and ends in -00.
Example: RSU123456789-00
Surname: Your Last Name (as on file with Ryerson University)
First Name: Your First Name (as on file with Ryerson University)
Address, City & Province: Your Current mailing address
Email Address: Your current email address
Phone Number: Your current phone number
Company Name: Ryerson Students' Union

Mailing instructions are found in Section 5 of the Health Claim form.

PLEASE NOTE:
When submitting claims to Green Shield, please ensure to include the original receipt along with the proof of payment (for example, the debit/credit approval receipt). Including all of this paperwork will ensure there is no delay in processing your claim.

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