iron workers logo.png

ALBERTA

IRONWORKERS HEALTH, PENSION AND TRAINING TRUST FUNDS

Consent to Release Version 1.0

Dental Claim Form Version 1.0

Drug Claim Form Version 1.0

Electronic Funds Transfer (EFT) Authorization for Claim Payments Version 1.0

Guide to Applying for Freezing of Hours Version 1.0

Guide to Applying for Weekly Disability Benefits Version 2020

Health Spending Account Claim Form Version 1.0

Pre-Determination - Hospital Bed Assessment Form Version 2017

Pre-Determination - Knee Brace Version 2017

Pre-Determination - Nursing Care Assessment Form Version 2017

Pre-Determination - Oxygen Concentrator Assessment Form Version 2017

Pre-Determination - Wheelchair Assessment Form Version 2017

Prescription Drug Special Authorization Request Form Version 1.0

Registration/Change Form Version 1.0

Consent to Release Version 1.0

Dental Claim Form Version 1.0

Drug Claim Form Version 1.0

Electronic Funds Transfer (EFT) Authorization for Claim Payments Version 1.0

Guide to Applying for Freezing of Hours Version 1.0

Guide to Applying for Weekly Disability Benefits Version 2020

Health Spending Account Claim Form Version 1.0

Pre-Determination - Hospital Bed Assessment Form Version 2017

Pre-Determination - Knee Brace Version 2017

Pre-Determination - Nursing Care Assessment Form Version 2017

Pre-Determination - Oxygen Concentrator Assessment Form Version 2017

Pre-Determination - Wheelchair Assessment Form Version 2017

Prescription Drug Special Authorization Request Form Version 1.0

Registration/Change Form Version 1.0

Log In

  • HOME

  • HEALTH

    • Check Coverage / Submit Claim
    • Booklet
    • Benefits at a Glance
    • Forms
    • Annual Report
    • Latest News
    • Tips and Questions
  • SUBMIT A CLAIM

  • PENSION

    • Create Estimate
    • Annual Report
    • Forms
    • Latest News
    • Tips and Questions
  • TRAINING

    • Bursary Rules 2021
    • Training Reimbursement Policy
    • Tips and Questions
  • EMPLOYERS

    • Submit Contributions
    • New Employer Package
  • VIDEOS

  • ABOUT

  • CONTACT

  • More

    Use tab to navigate through the menu items.

    FORMS & DOCUMENTS

    Admin Forms List
    • Change of Address Requisition

    • Consent to Release Information

    • Electronic Funds Transfer (EFT) Authorization for Claim Payments

    • Over-Age Dependent Coverage Request Form

    • Registration Change Form

    • Retire Benefit Plan (60-64) Registration Form

    • Self-Payment Electronic Funds Transfer (EFT) Pre-Authorized Debit (PAD) Agreement

    • Spousal Authorization Form

    Claim Forms List
    • Dental Claim Form

    • Drug Claim Form

    • Health Spending Account Claim Form

    • Pre-Determination - Hospital Bed Assessment Form

    • Pre-Determination - Knee Brace Assessment Form

    • Pre-Determination - Nursing Care Assessment Form

    • Pre-Determination - Oxygen Concentrator Assessment Form

    • Pre-Determination - Wheelchair Assessment Form

    • Supplementary Health Claim Form

    • Travel Letter and Card 

    • Vision Claim Form

    • Travel Coverage Booklet

    Disability/Freezing List
    • Freezing of Hours Request

    • Freezing of Hours Guide to Applying

    • Weekly Disability Benefits Guide to Applying

    • Weekly Disability Program Brochure

    • Weekly Disability Benefits Statement

    © 2021 by Alberta Ironworkers Health, Pension and

    Training Trust Funds

    Request for Freezing of Hours Form Version 1.0