Please mail the signed report with all original receipts and a Company cheque to:
BeneFitsMyWay- Box 408 - 370, 5222 130th Avenue SE Calgary, AB T2Z 0G4
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) |