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  • Individuals, Couples & Families
  • Independent Business Owners
  • Companies with Employees & Contractors
  • Organizations with Members
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Administrator Forms

Employee Administrator

Claim Form

1 MB

Direct Deposit Form

1 MB

Enrollment Form

1 MB

Pay Direct Pharmacy Card Form

641 KB

Pre-Authorized Debit Form

1 MB

Privacy Form

1 MB

Waive Benefits Coverage Form

1 MB

Overage Dependent Form

640 KB

Employee Data Sheet

28 KB

Contact Us

#208 – 3970 Hastings Street
Burnaby, BC V5C 6C1

  • (604) 293-1974
  • (800) 345-5515 [Toll Free]
  • info@pacific-first.com

Hours of Operation

Monday – Friday 8:30 am – 4:30 pm PST
Closed Weekends and Holidays

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