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Get Desjardins 02728a 2020-2025

Our records. Keep original forms for your records. Complete and save the form on your computer first. Keep original forms for your records. Contact us: 1-800-463-7843 (toll free) or 418-838-7843 Desjardins Insurance Life Health Retirement logo GROUP INSURANCE - DISABILITY CLAIMS DIRECT DEPOSIT - ENROLLMENT OR CHANGES DISABILITY CLAIMS Please include a specimen cheque marked VOID . Certificate or identification no. Last name and first name of the member Address - No., street, apartmen.

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