Our 24/7, multi-lingual claims department offers translation services, claims management and settlement processing, online claims submission, and medical claims assistance through Active Care Management (ACM).
You can now easily submit your claim online.
Include copies of all documents, invoices, and receipts related to your claim. Pictures of receipts taken from your smartphone are accepted. In some cases you may be required to submit original copies or receipts.
Complete the claim form.
Select form:
Medical Release Form:
Include copies of all documents, invoices, and receipts related to your claim. Pictures of receipts taken from your smartphone are accepted. In some cases you may be required to submit original copies or receipts.
Return the form and all documents related to your claim by one of the following:
- Email – Save your completed claim form, attach any other documents related to your claim and send it to [email protected]
- Mail – ACM P.O. Box 1237 Station A, Windsor, ON N9A 6P8
- Fax – 519-251-5165
Our claims department will contact you if we require additional information. For help on how to make a claim, please call:
Toll Free (Canada & United States): 1-866-595-7172
Collect (Elsewhere): 1-519-251-5177