Forms & Documents The following forms are available in Adobe Acrobat format. To download this free software, visit the Adobe Website. Application and Change Forms Group Insurance Enrollment for NSGEU, Confidential Excluded, Management (includes Beneficiary Designation) (Form CZ1) Manulife Application & EOI for Optional Life Insurance (Form CZ5) Group Insurance Coverage Change for NSGEU, Confidential Excluded, Management, also Retiree (includes Beneficiary Designation) (Form CZ7) Retiree Group Insurance Election (Form CZ17) Retiree Change Form - Group Insurance Benefits (Form CZ74) path Notification of 7 Consecutive Calendar Days of Absence (Form CZ38) SSQ Accidental Death & Dismemberment Conversion Notice (Form CZ40) Manulife Application for Insurance and Evidence of Insurability for Self-Administered Plans - Excess Amounts LTD (Form CZ50) Canada Life Application for Over-Age Dependent Coverage (Form CZ55) Overage Dependent Form (Form CZ56) Manulife Evidence of Insurability Form – Critical Illness (Form CZ57) Personal Data Change Form (Form CZ61) LTD Approval–Benefits Election Form–Reenrollment Health and/or Dental (Form CZ65) Manulife Application for Overage Disabled Dependent Coverage (Form CZ68) Manulife Plan Sponsor Request to Continue Group Coverage (Form CZ69) Coming Soon Claim Forms Manulife Group Benefits Life Conversion Option – Application (Form CZ13) Optional Accidental Death & Dismemberment Claim Form (Form CZ39) Canada Life Group Benefits Dental Claim Form (Form CZ42) SSQ Emergency Medical Claim Report – Out of Province / Out of Country and Consent to Collect (Form CZ45) Critical Illness Notification (Form CZ49) Manulife Application for Compassionate Assistance Loan (Form CZ60) Canada Life Healthcare Expenses Statement (Form CZ67) Death Claim Manulife Group Life Claim Form (Form CZ20A) Waiver Applications for Employees Not Covered Under the NSAHO LTD Plan Manulife Plan Sponsor Statement – Life Waiver of Premium (Form CZ63) Critical Illness Manulife Waiver of Premium Member Statement (Form CZ71) Critical Illness Manulife Waiver of Premium Attending Physician’s Statement (Form CZ72) Critical Illness Manulife Waiver of Premium Plan Sponsor (Employer) Statement (Form CZ73) Long Term Disability Claim LTD Application Package – Disabled after October 1, 2010 (Form CZ47)