Polmed - Our Investment - Our Health - Our Future

Forms


Members will be required to complete forms, which can be printed from the webiste, or you can contact the client service centre to fax you a copy. The forms must be completed and submitted to POLMED. Please select the appropriate form below.

 

  • icon Membership application form
  • icon Applicaton form for dependants
  • icon Application form for ex gratia
  • icon Record amendment form
  • icon Notification for continuation membership form
  • icon Confirmation of accident and member's undertaking
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    Archives

     

  • icon 2013 plan selection form
  • icon 2012 plan selection form
  • icon 2011 plan selection form
  • icon 2010 plan selection form
  • icon 2009 plan selection form
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