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Health Card Renewal Application 2014-2023
Present in British Columbia for at least 6 months in a calendar year, or a shorter prescribed period, and
includes a person who is deemed under the regulations to be a resident but does not include a tourist or visitor to British Columbia.
THIS SECTION FOR GROUP PLAN AUTHORIZATION ONLY - TO BE COMPLETED BY YOUR PAY OR PENSION OFFICE OR UNION WELFARE PLAN
GROUP NUMBER
DEPARTMENT / PAYLIST NUMBER
COVERAGE IS REQUESTED
THE FIRST DAY OF (MM / YYYY)
EMPLOYEE / PENSION NUMBER
AUTHORIZATION NAME...
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