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Get and Sign City of Ottawa Benefits Claim Form 2007-2022
The Employee, and the Employer, and be returned promptly for consideration of benefits. All questions on
this form must be answered in full. Incomplete or illegible answers may result in delay of benefit consideration. Please return this form as soon as possible after the
first day you are unable to work. Please keep a copy of this form and any attachments for your records.
The employee is responsible for completion of all portions of this form without expense to the Unum...
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