Canada Sun Life Authorization to Furnish Information (4793 DC-106) 2016 free printable template
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Authorization to furnish information Sun Life Assurance Company of Canada Administrator for OMA Insurance PO Box 365 STN Waterloo, ON N2J 4A4 Fax: 18003670813 Email: services sunlife.com Web: www.OMAinsurance.com
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How to fill out Canada Sun Life Authorization to Furnish Information
How to fill out Canada Sun Life Authorization to Furnish Information (4793
01
Obtain the Canada Sun Life Authorization to Furnish Information (form 4793) from the official website or your benefits provider.
02
Fill out the personal information section, including your name, address, and policy number.
03
Specify the type of information you are authorizing to be shared (medical records, claim information, etc.).
04
Provide the names and contact information of the individuals or organizations authorized to furnish the information.
05
Sign and date the form to validate your consent.
06
Submit the completed form as instructed, either by mail, fax, or online.
Who needs Canada Sun Life Authorization to Furnish Information (4793?
01
Individuals who have a Canada Sun Life insurance policy and need to share their health information for claims processing.
02
Healthcare providers who require consent to disclose patient information to Canada Sun Life.
03
Legal representatives or guardians acting on behalf of policyholders who need to facilitate the sharing of information.
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What is Canada Sun Life Authorization to Furnish Information (4793)?
Canada Sun Life Authorization to Furnish Information (4793) is a form that allows Sun Life to collect and share personal information regarding an individual's health and financial status in order to process claims or provide services.
Who is required to file Canada Sun Life Authorization to Furnish Information (4793)?
Individuals who are claiming benefits or services from Sun Life, such as policyholders or beneficiaries, are required to file the Canada Sun Life Authorization to Furnish Information (4793).
How to fill out Canada Sun Life Authorization to Furnish Information (4793)?
To fill out the form, provide personal details such as name, address, and policy number, and sign the authorization to consent to the disclosure of relevant information by the designated parties.
What is the purpose of Canada Sun Life Authorization to Furnish Information (4793)?
The purpose of the form is to ensure that Sun Life has the necessary consent to obtain the required information from third parties to process claims efficiently and accurately.
What information must be reported on Canada Sun Life Authorization to Furnish Information (4793)?
The information that must be reported includes personal identification details, the specifics of the information to be disclosed, the parties involved, and the signature of the individual granting authorization.
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