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Claim Forms

Before submitting the claim form, ensure that all questions have been answered and that you have signed your name and clearly identified yourself by full name, return mailing address, your employer, and your Union. Faulty or missing information will only result in a delay in processing your claim.

A properly completed Vision Care claim form including the original prescription is required for each insured family member. Original Paid receipt of purchase must be attached as well.

Claim Form You may print out a claim form here claim form Ontario Teamster Construction Vision Claim form.
You can also contact BPA Claims Department (see box below) to obtain a copy of the form.
 
Each Vision Care claim must show the:
  1. patient's full name
  2. charge for lenses
  3. charge for frames
  4. charge for miscellaneous items
  5. Optometrist’s prescription


Forms & Brochures
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