Weekly Indemnity Claim

If you’ve become disabled (through injury or sickness) and are no longer able to work. Use the Weekly Indemnity Benefits Claim form to make your claim for Weekly Indemnity benefits.

Questions on completing the form should be directed to the Plan Administrator.

Completed forms should be sent to the Plan Administrator.

Plan Administration Office

45 McIntosh Drive
Markham, ON L3R 8C7

Phone 1-800-263-3564
Fax 905-946-9700
Email: questions@millworkersuniforbenefits.org