Authorization to Release Information

If you want to have information provided to a doctor, other individual or organization by a UFCW/PBAS administered plan or fund, you must provide a release form to the plan or fund. Each form is specific to one plan or employer. They can be downloaded in PDF format by clicking on the appropriate link below.

Canada Safeway – Health and Welfare Plan 1 - 21.79 KB

Canada Safeway – Health and Welfare Plan 2 - 22.03 KB

Canadian Commercial Workers Industry Pension Plan - 31.85 KB

Garment (Apparel) Sector Benefit Plan - 21.73 KB

Manitoba Food and Commercial Workers Dental Plan - 21.75 KB

Maple Leaf Foods - 21.71 KB

Springhill Farms Trusteed Benefit Plan - 21.71 KB

Vantage Foods - 21.7 KB

Westfair Foods - 21.74 KB