{"id":25762,"date":"2025-04-14T13:34:55","date_gmt":"2025-04-14T17:34:55","guid":{"rendered":"https:\/\/www.rbcinsurance.com\/en-ca\/?page_id=25762"},"modified":"2026-03-11T15:21:06","modified_gmt":"2026-03-11T19:21:06","slug":"forms","status":"publish","type":"page","link":"https:\/\/www.rbcinsurance.com\/en-ca\/group-benefits\/plan-administrator\/reference-guide\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"\n<div class=\"wp-block-rbc-resource-wrapper resourceWrapper tabListStickyWrapper\">\n<div class=\"wp-block-group resourceWrapper__col-left tabListHeadings is-layout-flow wp-block-group-is-layout-flow\">\n<p class=\"has-text-xs-font-size\"><span class=\"rbc-yoast-breadcrum-span\"><span><a href=\"https:\/\/www.rbcinsurance.com\/en-ca\/\">Home<\/a><\/span><\/span><\/p>\n\n\n\n<h1 class=\"wp-block-heading\" id=\"h-forms\">Forms<\/h1>\n\n\n\n<p><span class=\"partial__border-bottom\">Below is a list of forms as well as quick access to claim forms you or your employees may need.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-plan-administrator-forms\"><a href=\"#h-plan-administrator-forms\" class=\"jumpLink\">Plan Administrator forms<\/a><\/h2>\n\n\n\n<ul class=\"wp-block-rbc-list is-style-blue-disc\">\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/pdf\/group-benefits\/forms\/126730-annual-allocation-hsa-wsa-en.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-36587e72\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Annual Allocation of Health and Wellness Spending Account\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Annual Allocation of Health and Wellness Spending Account<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-777799.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-ef267b25\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Application for Accident Insurance Conversion\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Application for Accident Insurance Conversion<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/pdf\/group-benefits\/forms\/123089-gbs-appointment-of-administrators.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-b2306640\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Appointment of Administrator(s) under the Access Agreement for Plan Sponsor\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Appointment of Administrator(s) under the Access Agreement for Plan Sponsor<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717161.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-ac49e4b4\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Beneficiary Designation Form\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Beneficiary Designation Form<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-732122.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-a29d502d\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Cost Plus Claim Form\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Cost Plus Claim Form<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/pdf\/group-benefits\/forms\/group-ci-portability-request-en.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-7aad2da3\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Criticial Illness - Request to Excercise Portability Privilege\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Criticial Illness &#8211; Request to Excercise Portability Privilege<\/a><br>NOTE: Please download and save this form to your computer or device. Retrieve and open the saved copy in Adobe Reader to complete and submit it.<\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717168.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-1fa6c4d3\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Evidence of Insurability Form\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Evidence of Insurability Form<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717190.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-09dcc755\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Group Accident Insurance Conversion Notice ($100,000)\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Group Accident Insurance Conversion Notice ($100,000)<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717191.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-ae43e0b5\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Group Accident Insurance Conversion Notice ($200,000)\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Group Accident Insurance Conversion Notice ($200,000)<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717174.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-d2bebd0d\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Group Benefits Solutions Pre-Authorized Debit Agreement\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Group Benefits Solutions Pre-Authorized Debit Agreement<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717169.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-e6b8a0f5\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Group Enrolment Form\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Group Enrolment Form<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-766306.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-e1ab77fb\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Group Life Insurance Accelerated Benefit Notice of Claim\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Group Life Insurance Accelerated Benefit Notice of Claim<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717194.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-5fe01032\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Group LTD Conversion Facts\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Group LTD Conversion Facts<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-732123.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-f4fb057d\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Life Conversion Application \u2013 Group Benefit Solutions\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Life Conversion Application \u2013 Group Benefit Solutions<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717198.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-4b36968a\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Maternity\/Parental Leave of Absence \u2013 Opting Out of Coverage\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Maternity\/Parental Leave of Absence \u2013 Opting Out of Coverage<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/pdf\/group-benefits\/marketing\/123561-modular-flex-template.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-2acc1717\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Modular Flex Plan Benefit Summary\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Modular Flex Plan Benefit Summary<\/a><br>NOTE: To open this PDF, you will need to copy the PDF link and paste it into the Open File dialogue box in Adobe.<\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/out-of-canada-business-travel-request.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-dcf1d36b\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Out of Canada Business Travel Request\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Out of Canada Business Travel Request<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717192.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-5e51ad39\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Plan Member Change Form\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Plan Member Change Form<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-843601.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-919a3e59\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Refusal of Coverage Form \u2013 GBS\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Refusal of Coverage Form \u2013 GBS<\/a><\/p>\n<\/li>\n\n\n\n<li class=\"wp-block-rbc-list-item\">\n<p><a href=\"https:\/\/assets.rbcinsurance.com\/m\/6f4730021ff7a61b\/original\/Request-for-extension-of-benefits-for-a-terminated-employee.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-2962d982\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Request for extension of benefits for a terminated employee\" class=\"rbc-link-format standalone-pdf\" data-icon-class=\"standalone-pdf\" rel=\"noreferrer noopener\">Request for extension of benefits for a terminated employee<\/a><\/p>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-claims-forms\"><a href=\"#h-claims-forms\" class=\"jumpLink\">Claims forms<\/a><\/h2>\n\n\n\n<div class=\"wp-block-rbc-document-search documentSearch mar-t mob-mar-t\">\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group documentSearch__info is-layout-flow wp-block-group-is-layout-flow\">\n<h4 class=\"wp-block-heading\">Looking for a form or document?<\/h4>\n\n\n\n<p>If you administer an RBC Insurance Group Benefit Solutions plan you can also access resources by <a href=\"#\">signing<\/a> in to the Online Group Benefit Solutions website.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.rbcinsurance.com\/en-ca\/wp-content\/uploads\/sites\/2\/2021\/06\/how-to-esign-fillable-pdf-application-pa-en.pdf\" target=\"_blank\" data-dig-id=\"LP-25762-0605a9b0\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"How to complete and eSign a fillable PDF form\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">How to complete and eSign a fillable PDF form<\/a><\/p>\n<\/div>\n\n\n\t\t<div class=\"wp-block-rbc-document-search-form documentSearchForm\">\n\t\t\t<div class=\"documentSearchForm__categories\">\n\t<span class=\"documentSearchForm__fieldLabel\">\n\t\tSelect a category\t<\/span>\n\t<div class=\"documentSearchForm__radioGroup buttonRadioGroup__comfortable\">\n\t\t\t\t\t<div class=\"buttonRadio\">\n    <label class=\"buttonRadio__label\">\n        <input class=\"buttonRadio__input\" type=\"radio\" value=\"136\" name=\"document_category\" \/>\n        <span class=\"buttonRadio__customRadio\">\n            <span class=\"buttonRadio__dot\"><\/span>\n        <\/span>\n        <span class=\"buttonRadio__text\">Health &amp; Dental<\/span>\n    <\/label>\n<\/div>\n\t\t\t\t\t\t\t\t<div class=\"buttonRadio\">\n    <label class=\"buttonRadio__label\">\n        <input class=\"buttonRadio__input\" type=\"radio\" value=\"137\" name=\"document_category\" \/>\n        <span class=\"buttonRadio__customRadio\">\n            <span class=\"buttonRadio__dot\"><\/span>\n        <\/span>\n        <span class=\"buttonRadio__text\">Life, Accidental Death &amp; Dismemberment<\/span>\n    <\/label>\n<\/div>\n\t\t\t\t\t\t\t\t<div class=\"buttonRadio\">\n    <label class=\"buttonRadio__label\">\n        <input class=\"buttonRadio__input\" type=\"radio\" value=\"138\" name=\"document_category\" \/>\n        <span class=\"buttonRadio__customRadio\">\n            <span class=\"buttonRadio__dot\"><\/span>\n        <\/span>\n        <span class=\"buttonRadio__text\">Disability<\/span>\n    <\/label>\n<\/div>\n\t\t\t\t\t\t\t\t<div class=\"buttonRadio\">\n    <label class=\"buttonRadio__label\">\n        <input class=\"buttonRadio__input\" type=\"radio\" value=\"139\" name=\"document_category\" \/>\n        <span class=\"buttonRadio__customRadio\">\n            <span class=\"buttonRadio__dot\"><\/span>\n        <\/span>\n        <span class=\"buttonRadio__text\">Travel<\/span>\n    <\/label>\n<\/div>\n\t\t\t\t\t\t\t\t<div class=\"buttonRadio\">\n    <label class=\"buttonRadio__label\">\n        <input class=\"buttonRadio__input\" type=\"radio\" value=\"140\" name=\"document_category\" \/>\n        <span class=\"buttonRadio__customRadio\">\n            <span class=\"buttonRadio__dot\"><\/span>\n        <\/span>\n        <span class=\"buttonRadio__text\">Critical Illness<\/span>\n    <\/label>\n<\/div>\n\t\t\t\t\t\t<\/div>\n<\/div>\n\t<div class=\"documentSearchForm__documentSelect\">\n\t\t<span class=\"documentSearchForm__fieldLabel\">\n\t\t\tSelect your form or document\t\t<\/span>\n\t\t<div class=\"documentSearchForm__selectGroup\">\n\t\t\t\t\t\t\t\t<div class=\"documentSearchForm__select documentSearchForm__select__136\">\n\t\t\t\t\t\t\n<div class=\"selectDropdown__wrapper\">\n\t\t<div class=\"selectDropdown__container\">\n\t\t<div class=\"selectDropdown selectDropdown__comfortable   \" \t\t\tdata-option_name=\"\" style=\"width:280px\">\n\t\t\t<button class=\"selectDropdown__button\" aria-haspopup=\"listbox\" aria-expanded=\"false\">\n\t\t\t\t<span class=\"selectDropdown__title\" data-default_title=\"Select an option\">\n\t\t\t\t\tSelect an option\t\t\t\t<\/span>\n\t\t\t\t<span class=\"selectDropdown__chevron\"><\/span>\n\t\t\t<\/button>\n\t\t\t<ul class=\"selectDropdown__list\" role=\"listbox\" tabindex=\"-1\">\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23858\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tAuthorization Form for Custom Braces\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23784\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tAuthorization Form for In-Home Support Services of an RN RNA\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23872\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tAuthorization Form for Oxygen Equipment and Supplies\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23874\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tAuthorization Form for Post-Cataract Surgery and Prosthetic Eye Wear\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23895\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tAuthorization Form for Prosthetic Appliances and Durable Medical Equipment\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23940\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tDental Accident Report Form\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23941\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tGeneral Claim Submission\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t<\/div>\t\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"documentSearchForm__select documentSearchForm__select__137\">\n\t\t\t\t\t\t\n<div class=\"selectDropdown__wrapper\">\n\t\t<div class=\"selectDropdown__container\">\n\t\t<div class=\"selectDropdown selectDropdown__comfortable   \" \t\t\tdata-option_name=\"\" style=\"width:280px\">\n\t\t\t<button class=\"selectDropdown__button\" aria-haspopup=\"listbox\" aria-expanded=\"false\">\n\t\t\t\t<span class=\"selectDropdown__title\" data-default_title=\"Select an option\">\n\t\t\t\t\tSelect an option\t\t\t\t<\/span>\n\t\t\t\t<span class=\"selectDropdown__chevron\"><\/span>\n\t\t\t<\/button>\n\t\t\t<ul class=\"selectDropdown__list\" role=\"listbox\" tabindex=\"-1\">\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23958\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tGroup Life\/Accidental Death Notice of Claim\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23961\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tLoss of Use \/ Dismemberment Notice of Claim\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t<\/div>\t\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"documentSearchForm__select documentSearchForm__select__138\">\n\t\t\t\t\t\t\n<div class=\"selectDropdown__wrapper\">\n\t\t<div class=\"selectDropdown__container\">\n\t\t<div class=\"selectDropdown selectDropdown__comfortable   \" \t\t\tdata-option_name=\"\" style=\"width:280px\">\n\t\t\t<button class=\"selectDropdown__button\" aria-haspopup=\"listbox\" aria-expanded=\"false\">\n\t\t\t\t<span class=\"selectDropdown__title\" data-default_title=\"Select an option\">\n\t\t\t\t\tSelect an option\t\t\t\t<\/span>\n\t\t\t\t<span class=\"selectDropdown__chevron\"><\/span>\n\t\t\t<\/button>\n\t\t\t<ul class=\"selectDropdown__list\" role=\"listbox\" tabindex=\"-1\">\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23977\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tClient&#8217;s Supplementary Statement\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"31384\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tLong Term Disability Claim Form &#8211; Physicians Statement\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23972\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tLong Term Disability Group Claim Form &#8211; Client&#8217;s Statement\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23973\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tLong Term Disability Group Claim Form &#8211; Employer Statement\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23969\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tShort Term Disability Claim Form &#8211; Client&#8217;s Statement\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23970\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tShort Term Disability Claim Form &#8211; Employer Statement\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23971\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tShort Term Disability Claim Form &#8211; Physician Statement\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23978\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tSpouse Disability Notice of Claim\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t<\/div>\t\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"documentSearchForm__select documentSearchForm__select__139\">\n\t\t\t\t\t\t\n<div class=\"selectDropdown__wrapper\">\n\t\t<div class=\"selectDropdown__container\">\n\t\t<div class=\"selectDropdown selectDropdown__comfortable   \" \t\t\tdata-option_name=\"\" style=\"width:280px\">\n\t\t\t<button class=\"selectDropdown__button\" aria-haspopup=\"listbox\" aria-expanded=\"false\">\n\t\t\t\t<span class=\"selectDropdown__title\" data-default_title=\"Select an option\">\n\t\t\t\t\tSelect an option\t\t\t\t<\/span>\n\t\t\t\t<span class=\"selectDropdown__chevron\"><\/span>\n\t\t\t<\/button>\n\t\t\t<ul class=\"selectDropdown__list\" role=\"listbox\" tabindex=\"-1\">\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23979\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tTravel Confirmation of Coverage Letter\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23980\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tTravel Insurance Claim Forms\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t<\/div>\t\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"documentSearchForm__select documentSearchForm__select__140\">\n\t\t\t\t\t\t\n<div class=\"selectDropdown__wrapper\">\n\t\t<div class=\"selectDropdown__container\">\n\t\t<div class=\"selectDropdown selectDropdown__comfortable   \" \t\t\tdata-option_name=\"\" style=\"width:280px\">\n\t\t\t<button class=\"selectDropdown__button\" aria-haspopup=\"listbox\" aria-expanded=\"false\">\n\t\t\t\t<span class=\"selectDropdown__title\" data-default_title=\"Select an option\">\n\t\t\t\t\tSelect an option\t\t\t\t<\/span>\n\t\t\t\t<span class=\"selectDropdown__chevron\"><\/span>\n\t\t\t<\/button>\n\t\t\t<ul class=\"selectDropdown__list\" role=\"listbox\" tabindex=\"-1\">\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23981\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tClaim Form\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li\n\t\t\t\t\t\tclass=\"selectDropdown__list__item \"\n\t\t\t\t\t\tdata-option_value=\"23983\"\n\t\t\t\t\t\trole=\"option\"\n\t\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\t\taria-selected=\"false\"\n\t\t\t\t\t\t\t\t\t\t\t\tdata-option_url=\"\"\n\t\t\t\t\t>\n\t\t\t\t\t\t<div class=\"selectDropdown__list__item__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"selectDropdown__list__item__name\">\n\t\t\t\t\t\t\t\t\tRequest to Exercise Portability Privilege\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t<\/div>\t\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t<\/div>\n\t<div class=\"documentSearchForm__formDataGroup\">\n\t\t<div class=\"documentSearchForm__formData documentSearchForm__formData__23941\">\n\t\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717153.pdf\" target=\"_blank\" data-dig-id=\"LP-23941-b0f905b0\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"General Claim Submission\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">General Claim Submission<\/a><\/p>\n\n\n\n<p>Complete this form for all general claims. Detailed instructions for eligible expenses are included on the form.<\/p>\n\n\n\n<p>Send the completed form to the appropriate address listed on the form.<\/p>\n\n\n\n<p><strong>Online Claims Submission<\/strong><\/p>\n\n\n\n<p>Some claims can be submitted online. To find out more, sign in to the <a href=\"https:\/\/www4.rbcinsurance.com\/ui\/signin\/home?lang=en\" data-dig-id=\"LP-23941-511018ad\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Online Group Benefit Solutions\" class=\"rbc-link-format\">Online Group Benefit Solutions<\/a> service for a full list of eligible expenses.<\/p>\n\n\n\n<p><strong>Note:<\/strong> You can also check your eligibility for some benefits and access pre-populated forms through the Online Group Benefit Solutions service for Plan Members.<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23940\">\n\t\n<p><br><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-736940.pdf\" target=\"_blank\" data-dig-id=\"LP-23940-99a2faf7\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Dental Accident Report Form\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Dental Accident Report Form<\/a><\/p>\n\n\n\n<p><strong>Send the complete form along with a predetermination or any incurred claims to:<\/strong><br>RBC Life Insurance Company<br>P.O. BOX 1614 Windsor, Ontario N9A 0B9<\/p>\n\n\n\n<p>Please note x-rays are required.<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23895\">\n\t\n<p><br><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717142.pdf\" target=\"_blank\" data-dig-id=\"LP-23895-1bf74948\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Authorization Form for Prosthetic Appliances and Durable Medical Equipment\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Authorization Form for Prosthetic Appliances and Durable Medical Equipment<\/a><\/p>\n\n\n\n<p>Complete this authorization form to request prior approval of claims for prosthetics.<\/p>\n\n\n\n<p>*Please note that the details requested on this form are mandatory and that a claim may be denied without prior authorization.<\/p>\n\n\n\n<p><strong>Mail the completed form to:<\/strong><br>RBC Life Insurance Company<br>Attention: EHS Department<br>P.O. Box 1610<br>Windsor, Ontario<br>N9A 0B7<\/p>\n\n\n\n<p>After reviewing your request, we will send you a response letter outlining your eligibility as soon as possible.<\/p>\n\n\n\n<p><strong>Note:<\/strong> This form is available, pre-filled with your personal details, within our <a href=\"https:\/\/www4.rbcinsurance.com\/ui\/signin\/home?lang=en\" data-dig-id=\"LP-23895-c2001f22\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Online Group Benefit Solutions\" class=\"rbc-link-format\">Online Group Benefit Solutions<\/a> service for Plan Members.<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23874\">\n\t\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717144.pdf\" target=\"_blank\" data-dig-id=\"LP-23874-2e6dbd27\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Authorization Form for Post-Cataract Surgery and Prosthetic Eye Wear\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Authorization Form for Post-Cataract Surgery and Prosthetic Eye Wear<\/a><\/p>\n\n\n\n<p>Complete this authorization form to request prior approval of claims for post-cataract surgery and prosthetic eye wear.<\/p>\n\n\n\n<p>*Please note that a claim may be denied without prior authorization.<\/p>\n\n\n\n<p><strong>Mail the completed form to:<\/strong><br>RBC Life Insurance Company<br>P.O. Box 1603<br>Windsor, Ontario<br>N9A 0B6<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23872\">\n\t\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717143.pdf\" target=\"_blank\" data-dig-id=\"LP-23872-80bd4fc4\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Authorization Form for Oxygen Equipment and Supplies\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Authorization Form for Oxygen Equipment and Supplies<\/a><\/p>\n\n\n\n<p>Complete this authorization form to request prior approval of claims for oxygen equipment and supplies.<\/p>\n\n\n\n<p>*Please note that a claim may be denied without prior authorization.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Mail the completed form to:<\/strong><br>RBC Life Insurance Company<br>Attention: EHS Department<br>P.O. Box 1610<br>Windsor, Ontario<br>N9A 0B7<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Note:<\/strong> This form is available, pre-filled with your personal details, within our <a href=\"https:\/\/www4.rbcinsurance.com\/ui\/signin\/home?lang=en\" data-dig-id=\"LP-23872-17f189d8\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Online Group Benefit Solutions\" class=\"rbc-link-format\">Online Group Benefit Solutions<\/a> service for Plan Members.<\/p>\n\n\n\n<p><\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23784\">\n\t\n<p><br><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-855189.pdf\" target=\"_blank\" data-dig-id=\"LP-23784-5af41d24\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Authorization Form for In-Home Support Services of an RN RNA\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Authorization Form for In-Home Support Services of an RN RNA<\/a><\/p>\n\n\n\n<p><strong>NOTE:<\/strong> To open this PDF, you will need to copy the PDF link and paste it into the Open File dialogue box in Adobe.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>Complete this authorization form to request prior approval of claims for in-home support services.<\/p>\n\n\n\n<p>*Please note that the details requested on this form are mandatory and that a claim may be denied without prior authorization.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Mail the completed form to:<\/strong><br>RBC Life Insurance Company<br>Attention: EHS Department<br>P.O. Box 1613<br>Windsor, Ontario<br>N9A 0B6<\/p>\n\n\n\n<p><strong>Fax:<\/strong> 1-855-612-3031<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23858\">\n\t\n<p><br><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717145.pdf\" target=\"_blank\" data-dig-id=\"LP-23858-be2aaba5\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Authorization Form for Custom Braces\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Authorization Form for Custom Braces<\/a><\/p>\n\n\n\n<p>Complete this authorization form to request prior approval of claims for custom braces.<\/p>\n\n\n\n<p>*Please note that the details requested on this form are mandatory and that a claim may be denied without prior authorization.<\/p>\n\n\n\n<p><strong>Mail the completed form to:<\/strong><br>RBC Life Insurance Company<br>Attention: EHS Department<br>P.O. Box 1610<br>Windsor, Ontario<br>N9A 0B7<\/p>\n\n\n\n<p>After reviewing your request, we will send you a response letter outlining your eligibility as soon as possible.<\/p>\n\n\n\n<p><strong>Note:<\/strong> This form is available, pre-filled with your personal details, within our <a href=\"https:\/\/www4.rbcinsurance.com\/ui\/signin\/home?lang=en\" data-dig-id=\"LP-23858-9eda50bb\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Online Group Benefit Solutions\" class=\"rbc-link-format\">Online Group Benefit Solutions<\/a> service for Plan Members.<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23961\">\n\t\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717692.pdf\" target=\"_blank\" data-dig-id=\"LP-23961-21974688\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Loss of Use \/ Dismemberment Notice of Claim\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Loss of Use \/ Dismemberment Notice of Claim<\/a><\/p>\n\n\n\n<p>When an insured individual is making a claim for dismemberment, loss of use, loss of sight, etc., he or she will need to complete the appropriate sections of this form.<\/p>\n\n\n\n<p><strong>Note:<\/strong> The form also includes sections that must be completed by the insured individual\u2019s employer and physician.<\/p>\n\n\n\n<p><strong>Please follow these steps to complete and submit this form:<\/strong><\/p>\n\n\n\n<p><strong>Employee Instructions:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list  list-core-block second-level-inherit third-level-inherit\">\n<li>1. Complete the Claimant\u2019s\/Employee\u2019s Statement section within this form and return to your employer.<\/li>\n\n\n\n<li>2. Complete and sign the Authorization section on the Attending Physician\u2019s Statement, and send this form to your treating physician for completion. The form can be returned directly to RBC Insurance once completed.<\/li>\n<\/ul>\n\n\n\n<p><strong>Employer Instructions:<\/strong><\/p>\n\n\n\n<p>Complete the following sections within this form:<\/p>\n\n\n\n<ul class=\"wp-block-list list-core-block second-level-inherit third-level-inherit is-style-blue-disc\">\n<li>Employer\u2019s Statement<\/li>\n\n\n\n<li>Claimant\u2019s\/Employee\u2019s Statement<\/li>\n\n\n\n<li>The original enrolment form<\/li>\n<\/ul>\n\n\n\n<p><strong>Mail the completed form to:<\/strong><br>RBC Life Insurance Company, Life &amp; Health Claims Department<br>P.O.Box 4435, Station A<br>Toronto, Ontario<br>M5W 5Y8<\/p>\n\n\n\n<p><strong>Or Fax to:<\/strong><br>1-800-714-8861<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23958\">\n\t\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717594.pdf\" target=\"_blank\" data-dig-id=\"LP-23958-b06e331b\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Group Life\/Accidental Death Notice of Claim\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Group Life\/Accidental Death Notice of Claim<\/a><\/p>\n\n\n\n<p>When a beneficiary is making a life or accidental death claim on behalf of a deceased and insured individual, the beneficiary, the deceased\u2019s employer and the deceased\u2019s physician must complete the appropriate sections of this form.<\/p>\n\n\n\n<p><strong>Please follow these steps to complete and submit this form:<\/strong><\/p>\n\n\n\n<p><strong>Beneficiary Instructions<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list  list-core-block second-level-inherit third-level-inherit\">\n<li>Complete the claimant section of the form.<\/li>\n\n\n\n<li>Return the form to the insured\u2019s employer for completion.<\/li>\n<\/ol>\n\n\n\n<p><strong>Instructions for the Employer of the Insured<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list  list-core-block second-level-inherit third-level-inherit\">\n<li>Complete the employer section and sends all forms, along with original enrolment form and any change of beneficiary form(s) to RBC Insurance.<\/li>\n<\/ol>\n\n\n\n<p><strong>Mail the completed form(s) to:<\/strong><br>RBC Life Insurance Company, Life &amp; Health Claims Department<br>P.O.Box 4435, Station A<br>Toronto, Ontario<br>M5W 5Y8<\/p>\n\n\n\n<p><strong>Or Fax to:<\/strong><br>1-800-714-8861<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__31384\">\n\t\n<p><\/p>\n\n\n\n<p><a href=\"https:\/\/www.clhia.ca\/web\/CLHIA_LP4W_LND_Webstation.nsf\/page\/02A87E24F02B6A5C8525821000567ED2%21OpenDocument\" target=\"_blank\" data-dig-id=\"LP-31384-348a7006\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Long Term Disability Claim Form \u2013 Physician Statement\" class=\"rbc-link-format externalsite-link\" data-icon-class=\"externalsite-link\" rel=\"noreferrer noopener\">Long Term Disability Claim Form \u2013 Physicians Statement<\/a><\/p>\n\n\n\n<p>Choose the Form: Initial Disability Insurance Medical Statement.<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23978\">\n\t\n<p><br><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717596.pdf\" target=\"_blank\" data-dig-id=\"LP-23978-71627b5c\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Spouse Disability Notice of Claim\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Spouse Disability Notice of Claim<\/a><\/p>\n\n\n\n<p>When submitting a spousal disability claim, your spouse will need to complete this statement.<\/p>\n\n\n\n<p><strong>Note:<\/strong> The form also includes sections that must be completed by your employer and the treating physician.<\/p>\n\n\n\n<p><strong>Please follow these steps to complete and submit this form:<\/strong><\/p>\n\n\n\n<p><strong>Claimant Instructions:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list  list-core-block second-level-inherit third-level-inherit\">\n<li>Ensure that the Employer\u2019s Statement is completed.<\/li>\n\n\n\n<li>Complete the Spouse\u2019s Statement and return along with the Employer\u2019s Statement to RBC Insurance.<\/li>\n\n\n\n<li>Send the Attending Physician\u2019s Statement to the treating physician and have this for returned to RBC Insurance.<\/li>\n<\/ol>\n\n\n\n<p><strong>Employer Instructions:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list  list-core-block second-level-inherit third-level-inherit\">\n<li>Complete the Employer\u2019s Statement and attach Proof of Enrolment.<\/li>\n\n\n\n<li>Send this form along with the Spouse\u2019s Statement and the Attending Physician\u2019s Statement to the claimant.<\/li>\n<\/ol>\n\n\n\n<p><strong>Mail the completed form(s) to:<\/strong><br>RBC Life Insurance Company, Life &amp; Health Claims Department<br>P.O.Box 4435, Station A<br>Toronto, Ontario<br>M5W 5Y8<\/p>\n\n\n\n<p><strong>Or Fax to:<\/strong><br>1-800-714-8861<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23977\">\n\t\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717590.pdf\" target=\"_blank\" data-dig-id=\"LP-23977-3c1082b4\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Client's Supplementary Statement\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Client&#8217;s Supplementary Statement<\/a><\/p>\n\n\n\n<p>Your employer must complete this form if you are making a disability claim.<\/p>\n\n\n\n<p><strong>Mail the completed form to:<\/strong><br>RBC Life Insurance Company, Life &amp; Health Claims Department<br>P.O.Box 4435, Station A<br>Toronto, Ontario<br>M5W 5Y8<\/p>\n\n\n\n<p><strong>Or Fax to:<\/strong><br>1-800-714-8861<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23973\">\n\t\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717592.pdf\" data-dig-id=\"LP-23973-57f2050a\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Long Term Disability Group Claim Form - Employer Statement\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\">Long Term Disability Group Claim Form &#8211; Employer Statement<\/a><\/p>\n\n\n\n<p>Your employer must complete this form if you are making a disability claim.<\/p>\n\n\n\n<p><strong>Mail the completed form to:<\/strong><br>RBC Life Insurance Company, Life &amp; Health Claims Department<br>P.O.Box 4435, Station A<br>Toronto, Ontario<br>M5W 5Y8<\/p>\n\n\n\n<p><strong>Or Fax to:<\/strong><br>1-800-714-8861<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23972\">\n\t\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717593.pdf\" target=\"_blank\" data-dig-id=\"LP-23972-0f808811\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Long Term Disability Group Claim Form \u2013 Client\u2019s Statement\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Long Term Disability Group Claim Form \u2013 Client\u2019s Statement<\/a><\/p>\n\n\n\n<p>Your employer must complete this form if you are making a disability claim.<\/p>\n\n\n\n<p><strong>Mail the completed form to:<\/strong><br>RBC Life Insurance Company, Life &amp; Health Claims Department<br>P.O.Box 4435, Station A<br>Toronto, Ontario<br>M5W 5Y8<\/p>\n\n\n\n<p><strong>Or Fax to:<\/strong><br>1-800-714-8861<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23971\">\n\t\n<p><\/p>\n\n\n\n<p><a href=\"https:\/\/www.clhia.ca\/web\/CLHIA_LP4W_LND_Webstation.nsf\/page\/02A87E24F02B6A5C8525821000567ED2%21OpenDocument\" target=\"_blank\" data-dig-id=\"LP-23971-e6ea2aca\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Short Term Disability Claim Form \u2013 Physician Statement\" rel=\"noreferrer noopener\" class=\"rbc-link-format\">Short Term Disability Claim Form \u2013 Physician Statement<\/a><\/p>\n\n\n\n<p>Choose the Form: Attending Physician&#8217;s Statement Short-term Disability.<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23970\">\n\t\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/pdf\/group-benefits\/forms\/128195-std-claim-form-employer-statement-en.pdf\" target=\"_blank\" data-dig-id=\"LP-23970-b370a7d7\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Short Term Disability Claim Form \u2013 Employer Statement\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Short Term D<\/a><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/pdf\/group-benefits\/forms\/128195-std-claim-form-employer-statement-en.pdf\" target=\"_blank\" data-dig-id=\"LP-23970-b370a7d7\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Short Term Disability Claim Form \u2013 Employer Statement\" rel=\"noreferrer noopener\" class=\"rbc-link-format\">isability Claim Form \u2013 Employer Statement<\/a><\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23969\">\n\t\n<p><br><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-717597.pdf\" target=\"_blank\" data-dig-id=\"LP-23969-facf5527\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Short Term Disability Claim Form - Client's Statement\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Short Term Disability Claim Form &#8211; Client&#8217;s Statement<\/a><\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23980\">\n\t\n<p>For all travel insurance inquiries or claim forms, please contact Allianz Global Assistance:<\/p>\n\n\n\n<p><strong>Visit:<\/strong> <a href=\"https:\/\/allianzassistanceclaims.ca\/p\/rbc\" target=\"_blank\" rel=\"noreferrer noopener\">Online Travel Insurance Claims Site<\/a><\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p><strong>Call:<\/strong><\/p>\n\n\n\n<p>Assistance<\/p>\n\n\n\n<ul class=\"wp-block-list list-core-block second-level-inherit third-level-inherit is-style-blue-disc\">\n<li>1 855-603-5571 (Canada and USA)<\/li>\n\n\n\n<li>905-608-8251 (collect from anywhere)<\/li>\n<\/ul>\n\n\n\n<p><strong>Claims:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list list-core-block second-level-inherit third-level-inherit is-style-blue-disc\">\n<li>1 855-603-5574 (Canada and USA)<\/li>\n\n\n\n<li>905-608-8254 (collect from anywhere)<\/li>\n<\/ul>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23979\">\n\t\n<p><br><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/file-869227.pdf\" target=\"_blank\" data-dig-id=\"LP-23979-4fbf368d\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Travel Confirmation of Coverage Letter\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\" rel=\"noreferrer noopener\">Travel Confirmation of Coverage Letter<\/a><\/p>\n\n\n\n<p>Prior to travelling, review your Employee Benefits Booklet to understand what your benefits cover. Take this letter along with your RBC Insurance ID card with you when you travel to countries requiring proof of coverage. Please call 1-855-264-2174 if you require a personalized detailed letter.<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23983\">\n\t\n<p><br><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/pdf\/group-benefits\/forms\/group-ci-portability-request-en.pdf\" data-dig-id=\"LP-23983-3d663d7f\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Request to Exercise Portability Privilege\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\">Request to Exercise Portability Privilege<\/a><\/p>\n\n\n\n<p><strong>NOTE:<\/strong> To open this PDF, you will need to copy the PDF link and paste it into the Open File dialogue box in Adobe.<\/p>\n<\/div>\n<div class=\"documentSearchForm__formData documentSearchForm__formData__23981\">\n\t\n<p><a href=\"https:\/\/www.rbcinsurance.com\/salesresourcecentre\/pdf\/group-benefits\/forms\/group-ci-claim-form-en.pdf\" data-dig-id=\"LP-23981-bd307b15\" data-dig-category=\"LP\" data-dig-action=\"link click\" data-dig-label=\"Claim form\" class=\"rbc-link-format pdf-link\" data-icon-class=\"pdf-link\">Claim form<\/a><\/p>\n\n\n\n<p>Form\/document instructions:<\/p>\n\n\n\n<p><strong>NOTE:<\/strong> To open this PDF, you will need to copy the PDF link and paste it into the Open File dialogue box in Adobe.<\/p>\n<\/div>\n\t<\/div>\n\t\t<\/div>\n\t\t\n\n\n<p class=\"documentSearch__note\">Note: Forms are provided in Adobe PDF format. A recent version of Adobe Reader or Adobe Acrobat may be required to open, read and print a form on your system.<\/p>\n<\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"194\" height=\"194\" src=\"https:\/\/www.rbcinsurance.com\/en-ca\/wp-content\/uploads\/sites\/2\/2024\/09\/policy-document-illustration.png?quality=80&amp;w=194\" alt=\"illustration of a policy document\" class=\"wp-image-16254\" srcset=\"https:\/\/www.rbcinsurance.com\/en-ca\/wp-content\/uploads\/sites\/2\/2024\/09\/policy-document-illustration.png 194w, https:\/\/www.rbcinsurance.com\/en-ca\/wp-content\/uploads\/sites\/2\/2024\/09\/policy-document-illustration.png?resize=150,150 150w\" sizes=\"auto, (max-width: 194px) 100vw, 194px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group resourceWrapper__col-right is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-rbc-tabs-list tabsList\"><p class=\"tabsList__heading\">On this page<\/p><div class=\"tabsList__wrapper\"><button class=\"selectDropdown__button\" aria-haspopup=\"listbox\" aria-expanded=\"false\"><span class=\"selectDropdown__title\">Plan Administrator forms<\/span><span class=\"selectDropdown__chevron\"><\/span><\/button><ul class=\"tabsList__items selectDropdown__list\"><li class=\"selectDropdown__list__item tabsList__item selected\"><a href=\"#h-plan-administrator-forms\">Plan Administrator forms<\/a><\/li><li class=\"selectDropdown__list__item tabsList__item \"><a href=\"#h-claims-forms\">Claims forms<\/a><\/li><\/ul><\/div><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":203,"featured_media":0,"parent":23167,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/resources.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-25762","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast 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