Fee Reduction and Waiver Forms

Members who are eligible for fee reductions or waivers can now download Adobe Acrobat versions of the applicable forms. For more information, please contact Stephanie Langley at (604) 488-2636, toll free 1-800-663-2677, fax (604) 681-1523 or e-mail langley@ica.bc.ca.

Financial Hardship and Medical Waiver Form

Caring for Dependents Waiver Form

Declaration Form(This form is to be completed if claiming an “80 year” waiver or if the amount paid is different than the amount billed.)