Formulaire PDF

Drugs and health claims form (PDF)

Please return the form(s) to: Desjardins Financial Security, Box 3950, Lévis, Québec G6V 8C6
Disability claim form - Insured person's statement (PDF)

Please return the form(s) to Sogemec Assurances inc.
Physical and/or psychological illness (Original request) (PDF)

Please return the form(s) to Sogemec Assurances inc.
Physical and/or psychological illness (Additional report) (PDF)

Please return the form(s) to Sogemec Assurances inc.
Detailed statement of overhead exprnses and income earned - Partial Disability (PDF)

Please return the form(s) to Sogemec Assurances inc.
Claim of reimbursement of overhead expenses - Total Disability (PDF)

Please return the form(s) to Sogemec Assurances inc.
Dental claims form (PDF)

Please return the form(s) to:Desjardins Financial Security, Box 3950, Lévis, Québec G6V 8C6

I am a doctor. My place is here.