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FCW×MAPLE LEAF FOODS INC. BENEFIT PLAN MAJOR MEDICAL CLAIM FORM INSTRUCTIONS: Answer all questions and sign the bottom of this form. This claim will be returned to you if it is incomplete. Attach
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Maple Leaf BMajor Medical is a medical form that employees must fill out to report their major medical expenses.
All employees who incurred major medical expenses are required to file Maple Leaf BMajor Medical.
Employees can fill out Maple Leaf BMajor Medical by providing details of their major medical expenses and attaching relevant documents.
The purpose of Maple Leaf BMajor Medical is to report major medical expenses incurred by employees.
Employees must report details of their major medical expenses, including dates, types of expenses, and amounts.
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