Manulife benefits forms printable 2026

1. Click ‘Get Form’ to open the manulife benefits forms printable in the editor.
2. Begin with Part 1 - Dentist. Fill in the dentist's last name, given name, and contact details including phone number and address. Ensure you assign your benefits payable from this claim to the named dentist by signing where indicated.
3. In Part 2 - Plan Member Information, enter your plan number, account/division number, and personal details such as your name and date of birth. If applicable, attach a void cheque for direct deposit of future claims payments.
4. Proceed to Part 3 - Patient Information. Indicate the relationship to the plan member and provide necessary details about any other dental plans or treatments related to accidents.
5. Complete Part 4 - Plan Member Confirmation by certifying that all information is true and complete. Sign and date the form.
6. Finally, follow the mailing instructions in Part 5 to send your completed claim form and receipts to the appropriate address based on your location.

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