Benefit Forms

All of your Manitoba Food and Commercial Workers (MFCW) Dental Plan documentation is now found on the MFCW Dental Plan Website under the Downloads tab. You can also access documentation on your new Member Portal where once registered, you can directly log in, view Plan documentation and submit any out-of-pocket dental claims.

Questions?

Call: 1-800-952-9932
Email: mfcwdental@pbas.ca

All of your UFCW Union/Maple Leaf Foods Inc. Benefit Plan documentation and forms are now found on the UFCW Union/Maple Leaf Foods Inc. Benefit Plan Website under the Downloads tab. You can also access documentation on your new Member Portal where, once registered, you can directly log in, view Plan documentation and submit your Major Medical claims.

Questions?

Call: 1-877-982-4170
Email: mapleleaf@pbas.ca

• Dental Form
• Vision Care Claim Form
• Smoking Cessation Claim Form
• Accessing a Virtual Doctor (QDoc) – on or after February 6, 2023
• Sick Pay Claim Forms 1 and 3
• Sick Pay Claim Form 2
• Sick Pay Claims Processing Timeline
• HyLife Benefit Plan
• Hylife Registration Form

• New Benefits Provider effective October 1, 2023
• Summary of Benefits
• Major Medical Claim Form
• Sick Benefit Form 
• Supplementary Hours Credit (SHC)
• Plan Registration Form
• Notification of Change Form
• Authorization to Release Information Form
• Gas Bar Dental Claim Form
• Blue Cross – Attending Physician’s Statement – Short Term Disability Claim
• Blue Cross – Employee’s Statement
• Confused about your benefits?

All of your UFCW Local 832/Westfair Foods Ltd. Benefit Plan summaries, travel coverage, and documentation are now found on the UFCW Local 832/Westfair Foods Ltd. Benefit Plan Website under the Downloads tab. You can also access documentation on your new Member Portal where once registered, you can directly log in, view Plan documentation, and submit your Major Medical claims. For Tier 2 Members, your Manulife Booklets are also available on both the website and in the Member Portal.

Questions?

Call: 1-877-982-6087
Email: westfair@pbas.ca

If you work at No Frills, you are covered by the Canada Life Benefit Plan. You can request claim forms from Loblaw or setup online access at my.canadalife.com.

If you’re confused about your benefits, check out our reference sheet.

• Heavy Workload Report – fillable PDF

• Visit our Scholarships page for more information.