---
title: Forms | Sirius Benefits
description: Forms | Sirius Benefits
---

# Forms 

Below is a list of forms which you may download:

Member

- [Member Application](https://siriusbenefits.peoplecorporation.com/hubfs/7281960/SiriusBenefits_May2021/PDF-Files/Member%20Application.pdf?hsLang=en-ca)
- [Change Request](https://siriusbenefits.peoplecorporation.com/hubfs/7281960/SiriusBenefits_May2021/PDF-Files/Member%20Change%20Request.pdf?hsLang=en-ca)
- [Beneficiary Change](https://siriusbenefits.peoplecorporation.com/hubfs/7281960/SiriusBenefits_May2021/PDF-Files/Member%20Beneficiary%20Change.pdf?hsLang=en-ca)
- [OverAge Dependent Application](https://siriusbenefits.peoplecorporation.com/hubfs/7281960/SiriusBenefits_May2021/PDF-Files/OverAge%20Dependent%20Application.pdf?hsLang=en-ca)
- [Request for Direct Deposit of Claim Reimbursement](https://siriusbenefits.peoplecorporation.com/hubfs/7281960/SiriusBenefits_May2021/PDF-Files/Request%20for%20Direct%20Deposit%20for%20Claims.pdf?hsLang=en-ca)
- [Extended Health Care Form](https://siriusbenefits.peoplecorporation.com/hubfs/7281960/SiriusBenefits_May2021/PDF-Files/EHC%20Claim%20Form.pdf?hsLang=en-ca)
- [Dental Claim Form](https://siriusbenefits.peoplecorporation.com/hubfs/7281960/SiriusBenefits_May2021/PDF-Files/Dental%20Claim%20Form.pdf?hsLang=en-ca)

Plan Administator

- [Salary Change Request](https://siriusbenefits.peoplecorporation.com/hubfs/7281960/SiriusBenefits_May2021/PDF-Files/Salary%20Change%20Request.pdf?hsLang=en-ca)
- [Request for Automated Premium and Electronic Billing](https://siriusbenefits.peoplecorporation.com/hubfs/7281960/SiriusBenefits_May2021/PDF-Files/Request%20for%20Automated%20Payment%20and%20Electronic%20Billings.pdf?hsLang=en-ca)

Provider

- [Request for Direct Deposit of Claim Reimbursement](https://siriusbenefits.peoplecorporation.com/hubfs/7281960/SiriusBenefits_May2021/PDF-Files/Provider%20Request%20for%20Direct%20Deposit%20for%20Claims.pdf?hsLang=en-ca)

[![Lady](https://siriusbenefits.peoplecorporation.com/hubfs/SiriusBenefits_May2021/Images/banner_img_11.jpg) ](https://siriusbenefits.peoplecorporation.com/en-ca/forms#banner_10) [![Young Woman](https://siriusbenefits.peoplecorporation.com/hubfs/banner_img_15.jpg) ](https://siriusbenefits.peoplecorporation.com/en-ca/forms#banner_15)

[![Business Man](https://siriusbenefits.peoplecorporation.com/hubfs/SiriusBenefits_May2021/Images/banner_img_10.jpg) ](https://siriusbenefits.peoplecorporation.com/en-ca/forms#banner_10) 

[Français | French](https://www.avantagessirius.ca/forms-fr.html?hsLang=en-ca)