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Temporary Absence Form (pdf/330.49 KB)
Extended Health Benefits Policy - Appeal Request Form (pdf/638.14 KB)
NWT Application for Health Care (pdf/442.35 KB)
Métis Health Benefits Application (pdf/318.3 KB)
EHB Expense Claim (pdf/159.33 KB)
NWT Health Care Card Renewal Form (pdf/334.19 KB)
NWT Application for Health Care (Newborn) (pdf/310.2 KB)
Extended Health Benefits Seniors Program Application (pdf/310.23 KB)
Extended Health Benefits Specified Disease Conditions Program Application (pdf/309.99 KB)
Notification of Change / Update (NWT Health Care Plan) (pdf/368.48 KB)