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Forms

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Kindly complete the forms, sign and submit online, email to a TISL staff member or visit any TISL Office with the supporting documents. Please note that ONLY blue or black ball point pens can be used when completing all forms.

Insurance Forms

TECU Members’ Health Plan Application Form (Age 18-49)

TECU Members’ Health Plan Application Form (Age 50-59)

TECU Members’ Group Health and Group Life – Beneficiary Update Form

TECU Members’ Group Life – Certificate of Death Form

TECU Members’ Family Indemnity Plan – Enrolment Form

TECU Members’ Family Indemnity Plan – Change of Insured Form

TECU Members’ Family Indemnity Plan – Designation of Beneficiary Form

TECU Members’ Family Indemnity Plan – Change of Plan Form

TECU Members’ Health Plan –  Deduction Form

Claim Forms

Fire & Extraneous Perils Claim Form

Motor Vehicle Accident/Loss Report

TECU Members’ Health Plan Claim Form

TECU Members’ Group Life – Death Claim Form


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(868) 638-7772 (TISL East)

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  • About Us
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    • Property Insurance
    • Motor Insurance
    • TECU Group Policies
    • Commercial Insurance
    • Liability Insurance
    • Marine Insurance
  • TECPAY
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  • Contact Us