Please mail the signed report with all original receipts and a Company cheque to:
BeneFitsMyWay- Suite 220, 4000 Glenmore Court SE, Calgary, Alberta T2C 5R8
| Total Claim Amount | A | ||
| Processing Fees | |||
| Admin fee | |||
| Paper claim fee | |||
| Manual cheque fee | |||
| B | Total | ||
| GST/HST on B | C | ||
| Premium Tax on A+B | D | ||
| PST on A | E | ||
| Total (A+B+C+D+E) |