Download A Claim Form
Claims for benefit
The following Claim Forms are provided for your use:
When you click on the file below, a new window should open on your PC containing the form.
Please note that the Online Benefit Claim Form can be used to save your details for the next time you wish to make a claim. (These details will only be stored on your own PC). Please complete, print, sign and send the claim form to Health Shield, with accompanying receipts where required.
To view pdf files will need to have Acrobat Reader installed on your computer - most computers have Acrobat installed but if you have problems opening the files you can download Acrobat Reader from Adobe by clicking on the Adobe icon below. If you do not have internet access to download or install Acrobat Reader, and you require this, contact your systems administrator.
Click the icon to be transferred to the Adobe site.
