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Important notice

Class action against tobacco companies

If you need the Health Insurance Number of a tobacco victim, you must file a request for access to information for a deceased person. Find out more

Statement of Contributions

Form
Updated on

 14 December 2023

Example of the form to use when you change insurers during the year. This is to ensure that you pay the correct amount toward your maximum annual contribution.

Form 3892

Protection of your personal information
In order to offer you certain services, we need to collect, use, and sometimes disclose your personal information. To find out more about our privacy practices on our website, please refer to our Privacy policy webpage.