BC Holder Relations Office
To download a form, just click on a link below. You will need Adobe Acrobat Reader to open all files below.
- Request for Amendment of Benefit Certificate
- Statement of Claimant
- Application for Non-Forfeiture Option
- Affidavit on Loss of Benefit Certificate
- Application for Reinstatement of Benefit Certificate (BC)
- Benefit Certificate Loan Agreement
- Affidavit on Loss of Benefit Certificate
Adobe Acrobat Reader
is available at no cost for download.
| Attachment | Size |
|---|---|
| statement of claimant.pdf | 608.43 KB |
| aff. on loss of bc.pdf | 327.06 KB |
| affidavit on loss of bc.pdf | 230.85 KB |
| application for non forfeiture option.pdf | 302.95 KB |
| application for reinstatement of bc.pdf | 469.36 KB |
| bc loan agreement.pdf | 365.71 KB |
| request for amendment of bc.pdf | 358.73 KB |
