Booklets & Forms
Note: Before submitting a form to the Payroll and Benefits department, or to the benefits/insurance provider, please remember to keep a copy for your own records.
Changes to Personal Information
- Changes to Personal InformationLog into MAP using the link below to initiate a Personal Info Change.
Critical Illness Insurance
- Critical Illness Evidence of Insurability Form
- Optional Critical Illness Application Form
- Optional Dependent Critical Illness Questions & Answers
Group Insurance Forms (NSGEU, Mgmt, Excl)
- Beneficiary Designation Form for Optional Life
- Great-West Life Brand Name Drug Request Form
- Great-West Life Assignment of Benefits, Special Situations
- Group Insurance Changes
- Group Insurance Enrollment Form
- Optional Life Insurance Application & Evidence of Insurability Form - Contact Benefits, benefits@cdha.nshealth.ca for the application and current rates.
- Voluntary AD&D Application Form
Group Insurance Forms (NSNU)
Long Term Disability Insurance
NSGEU, Confidential Excluded, Clinical Research, Management Benefit Booklets & Non-Union
- Accidental Death and Dismemberment Insurance
- Critical Illness Insurance and Dependent Critical Illness Insurance
- Life Insurance Active Employees
- Life Insurance - Non-Union
- Your Long Term Disability Benefit
- Medical and Dental - (Terms of this booklet applies to Great-West Life where Medavie Blue Cross appears.)
- Retiree Medical - Medavie Blue Cross
- Travel Insurance - Out Of Country Medical Plan
NSNU Benefit Booklets
Out of Country Travel - SSQ
Payroll
- Canada Saving Plan Cancellation or Change
- Direct Deposit Enrollment Form
- Request for Release of Employee Information
- TD-1 (Federal Tax) 2020
- TD1NS (Provincial Tax) 2020
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