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  1. Click ‘Get Form’ to open the Emergency Transport Claim Form in our editor.
  2. Begin with Section A, where you will enter your Worker Details. Fill in your Incolink member number, union membership status, name, date of birth, and contact information including street address and phone numbers.
  3. Proceed to the Claimant Details section. Specify who is claiming (worker or dependants) and provide their details, including date of birth and any necessary documentation as outlined in the checklist.
  4. In the Worker’s Employment Details section, input your company name, employment status, and whether you are still employed. If applicable, include termination dates.
  5. Complete the Ambulance Details by providing the date and time the ambulance was required along with a brief explanation of why it was needed.
  6. Finally, fill out Payment Details indicating how you wish to receive payments. Ensure all banking information is accurate for direct deposits.
  7. Review your entries for completeness and accuracy before signing the declaration at the end of the form.

Start filling out your Emergency Transport Claim Form online today for free!

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